Organization Active NPI

Glorious Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1255914883
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GLORIOUS BEHAVIORAL HEALTH
Practice address
13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone
(281) 231-8475
Fax
(661) 215-1855
NPI assigned
May 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Rudo ShokoNPI 1366871543
Title
Owner
Phone
(281) 231-8475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883

Mailing address

5311 Court of York
Houston, TX 77069-1939
Phone (281) 231-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210505001597 TX Part B Supplier - Clinic/Group Practice 8123437019 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1255914883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 COURT OF YORK",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691939",
            "telephone_number": "281-231-8475",
            "fax_number": "661-215-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691883",
            "telephone_number": "281-231-8475",
            "fax_number": "661-215-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "SHOKO",
        "authorized_official_first_name": "RUDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-231-8475"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.