Individual provider Active NPI

Susan Bernheimer Parkman, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1265864714
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35535 Issued in TX
Practice address
2950 North Loop W Ste 500
Houston, TX 77092-8830
Phone
(832) 405-1819
Fax
(832) 202-2470
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35535 TX Primary
Case Manager/Care Coordinator 171M00000X 35535 TX
Mental Health Counselor 101YM0800X 35535 TX
Counselor 101Y00000X 35535 TX
Professional Counselor 101YP2500X 35535 TX

Addresses

Primary practice location

2950 North Loop W Ste 500
Houston, TX 77092-8830

Mailing address

7110 Cole Creek Dr
Houston, TX 77092-1421
Phone (832) 405-1819

Other identifiers 1

IdentifierTypeStateIssuer
3294357MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151014000118 TX Practitioner - Clinical Social Worker 1951536663 Reassigns benefits to 1 organization
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35535TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Jason D. Baron, M.D., PA CurrentSince Mar 13, 2023 Accepting new patients
Jason D. Baron, M.D., P.a. CurrentSince Mar 13, 2023 Accepting new patients
Lucid Lane Providers, P.C. Mental Health PastSince Mar 15, 2021 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

5500 Guhn Rd
Ste 100
Houston, TX 77040
Phone (713) 893-8889

Organizations & group practices 4

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1265864714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 COLE CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770921421",
            "telephone_number": "832-405-1819",
            "fax_number": "832-202-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 NORTH LOOP W STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928830",
            "telephone_number": "832-405-1819",
            "fax_number": "832-202-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKMAN",
        "first_name": "SUSAN",
        "middle_name": "BERNHEIMER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35535",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "35535",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "35535",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "35535",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "35535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3294357",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.