Active NPI
Allison Bedford
- Clinical Social Worker
- Pearland, TX
National Provider Identifier
1225489107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104189
- Practice address
- 12234 Shadow Creek Pkwy Ste 106
Pearland, TX 77584-7330 - Phone
- (346) 206-3992
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 98941 | CA | |
| Clinical Social Worker | 1041C0700X | 104189 | TX | Primary |
Addresses
Primary practice location
12234 Shadow Creek Pkwy Ste 106
Pearland, TX 77584-7330
Mailing address
2110 Elmen St Apt 2
Houston, TX 77019-6874
Phone (863) 409-1123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15124758 | Other | CAQH | |
| 104189 | Other | TX | LCSW |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1225489107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 ELMEN ST APT 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770196874",
"telephone_number": "863-409-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12234 SHADOW CREEK PKWY STE 106",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847330",
"telephone_number": "346-206-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2021-08-02",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "98941",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "104189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15124758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "104189",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
- Katie M Beaudoin, PA-C
- Michelle Lynne Beaudoin, LMHC
- Mohamed Y Beck, M.D
- Joseph Xavier Becker, MSPT
- Beckon Applied Behavior Analysis Care (Babacare), LLC
- Bee Right There Medical Courier Service LLC
- Bee Right There Transportation Services LLC
- Bee Well Counseling Center, PLLC
- Bee You Be Empowered, LLC
- Beekaylimited Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.