Thomas Bollinger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31855 Issued in TX

Practice address

31 Regency PT
Montgomery, TX 77356-9094

Phone

(936) 828-7426

NPI assigned

May 5, 2019

Last updated

Jun 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.11 of 100Reported as group

Quality

69.15

Promoting interoperability

100

Improvement activities

40

Cost

73.63

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  Medicare reassignment NPD
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1255996344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EAST ROAD",
            "address_2": "BBS3230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770549094",
            "telephone_number": "713-486-2500",
            "fax_number": "713-486-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 REGENCY PT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773569094",
            "telephone_number": "936-828-7426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 East Road",
            "address_2": "BBS3230",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770549094",
            "country_code": "US",
            "telephone_number": "713-486-2500",
            "fax_number": "713-486-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Beverly, OTD, OTR
• Beyond Barriers Therapy Solutions LLC
• Shelley Blanco
• Tanya Elise Blenden Devries, MS, LPC, LCDC, NCC
• Bohui Smith PLLC
• Eileen Porter Borski, LPC ASSOCIATE
• April Bouley
• Kristen Michelle Bowers, LM, CPM
• Caimbry Taylor Boyle, PTA
• Elizabeth Boysel

• Clinical Social Worker in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.