Individual provider Active NPI

Bobby Ray Kitchen

  • Peer Specialist
  • Houston, TX
National Provider Identifier
1336031582
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
2083-1124 Issued in TX
Practice address
8103 Woodward St
Houston, TX 77051-1325
Phone
(281) 387-1952
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 70472 TX
Peer Specialist 175T00000X 2083-1124 TX Primary

Addresses

Primary practice location

8103 Woodward St
Houston, TX 77051-1325

Mailing address

8103 Woodward St
Houston, TX 77051-1325
Phone (281) 387-1952

Other practice location 1

2525 San Jacinto St
Houston, TX 77002-9131
Phone (281) 387-1952

Other names 1

  • Bobby Ray Kitchen Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2083-1124TXMDPeer Specialist
70472TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1336031582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 WOODWARD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770511325",
            "telephone_number": "281-387-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 WOODWARD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770511325",
            "telephone_number": "281-387-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 San Jacinto St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770029131",
            "country_code": "US",
            "telephone_number": "281-387-1952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "BOBBY",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "70472",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "2083-1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "KITCHEN",
            "middle_name": "RAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 21, 2025; 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.