Active NPI
Kenneth Wyche, LMSW
- Social Worker
- Houston, TX
National Provider Identifier
1316307226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 58265
- Practice address
- 13100 Trail Hollow Dr
Houston, TX 77079-3712 - Phone
- (713) 303-2541
- NPI assigned
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 58265 | TX | Primary |
Addresses
Primary practice location
13100 Trail Hollow Dr
Houston, TX 77079-3712
Mailing address
13100 Trail Hollow Dr
Houston, TX 77079-3712
Phone (713) 303-2541
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58265 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1316307226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 TRAIL HOLLOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770793712",
"telephone_number": "713-303-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 TRAIL HOLLOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770793712",
"telephone_number": "713-303-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCHE",
"first_name": "KENNETH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "58265",
"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 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.