Active NPI
Ivonne Bahena, LBSW
- Social Worker
- Houston, TX
National Provider Identifier
1215325188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 51988
- Practice address
- 11023 Holly Hill LN
Houston, TX 77041-5400 - Phone
- (936) 615-7800
- NPI assigned
- Dec 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 51988 | TX | Primary |
Addresses
Primary practice location
11023 Holly Hill LN
Houston, TX 77041-5400
Mailing address
11023 Holly Hill LN
Houston, TX 77041-5400
Phone (936) 615-7800
Other names 1
- Miss Ivonne Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51988 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1215325188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11023 HOLLY HILL LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770415400",
"telephone_number": "936-615-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11023 HOLLY HILL LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770415400",
"telephone_number": "936-615-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHENA",
"first_name": "IVONNE",
"name_prefix": "Mrs.",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-31",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "51988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVONNE",
"last_name": "PEREZ",
"prefix": "MISS",
"credential": "LBSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.