Organization Active NPI

The Ekklesia Concierge Telepsychiatry & Mental Health Services PLLC.

  • Adult Mental Health Clinic/Center
  • Houston, TX
National Provider Identifier
1285269050
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THE EKKLESIA CONCIERGE TELEPSYCHIATRY & MENTAL HEALTH SERVICES PLLC.
Doing business as
The Ekklesia, PLLC.
Practice address
6550 Mapleridge St
Houston, TX 77081-4600
Phone
(832) 778-8887
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Annie Law, MSN, APRN, PMHNP-BC
Title
Owner/Psych NP
Phone
(832) 778-8887

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

6550 Mapleridge St
Houston, TX 77081-4600

Mailing address

13410 Explorer Dr
Houston, TX 77044-1089
Phone (832) 778-8887

Other practice location 1

13410 Explorer Dr
Houston, TX 77044-1089
Phone (832) 778-8887

Other names 1

  • The Ekklesia, PLLC. Doing business as

National Provider Directory

National Provider Directory

Locations

6550 Mapleridge St
Houston, TX 77081
Phone (713) 665-9675

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1285269050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EXPLORER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770441089",
            "telephone_number": "832-778-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "832-778-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13410 Explorer Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770441089",
            "country_code": "US",
            "telephone_number": "832-778-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE EKKLESIA CONCIERGE TELEPSYCHIATRY & MENTAL HEALTH SERVICES PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER/PSYCH NP",
        "authorized_official_telephone_number": "832-778-8887",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ekklesia, PLLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2020; 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.