Organization Active NPI

Colleen Roose

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1326411752
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54496 Issued in TX
Legal business name
COLLEEN ROOSE
Practice address
14811 Saint Marys LN
Ste 288
Houston, TX 77079-2916
Phone
(713) 714-7453
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Colleen Roos, LCSWNPI 1477702405
Title
LCSW
Phone
(570) 574-0616

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 54496 TX Primary

Addresses

Primary practice location

14811 Saint Marys LN
Ste 288
Houston, TX 77079-2916

Mailing address

9127 Covent Garden St
Houston, TX 77031-3017

National Provider Directory

National Provider Directory

Locations

14811 Saint Marys Ln
Ste 288
Houston, TX 77079
Phone (346) 237-7007

Practitioners & affiliated clinicians

Practitioners 1

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": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1326411752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 COVENT GARDEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 SAINT MARYS LN",
            "address_2": "STE 288",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792916",
            "telephone_number": "713-714-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN ROOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "570-574-0616",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54496",
            "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 Nov 6, 2015; 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.