Individual provider Active NPI

Constance Renee Durham, MS, MA, LPCI, LBSW

  • Case Manager/Care Coordinator
  • Sugar Land, TX
National Provider Identifier
1235215534
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
36563 Issued in TX
Practice address
15127 Snow Hill CT
Sugar Land, TX 77478-2149
Phone
(281) 933-8061
NPI assigned
Oct 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 36563 TX Primary

Addresses

Primary practice location

15127 Snow Hill CT
Sugar Land, TX 77478-2149

Mailing address

15127 Snow Hill CT
Sugar Land, TX 77478-2149
Phone (281) 933-8061

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
36563TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Ready for the World, Inc. Past Accepting new patients
Ready for the World, Inc. Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235215534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 SNOW HILL CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782149",
            "telephone_number": "281-933-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 SNOW HILL CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782149",
            "telephone_number": "281-933-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CONSTANCE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "MS, MA, LPCI, LBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "36563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.