Organization Active NPI

Houston Medical-Mental Health Clinic, LLC

  • Health Service Clinic/Center
  • Houston, TX
National Provider Identifier
1356925101
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HOUSTON MEDICAL-MENTAL HEALTH CLINIC, LLC
Practice address
2833 Spears Rd Ste C
Houston, TX 77067-1170
Phone
(832) 294-0867
Fax
(832) 294-0867
NPI assigned
May 7, 2021
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dr. Lucas Ego Egebe, FNPNPI 1053666990
Title
Provider
Phone
(832) 294-0867

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

2833 Spears Rd Ste C
Houston, TX 77067-1170

Mailing address

2833 Spears Rd Ste C
Houston, TX 77067-1170
Phone (832) 294-0867

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Houston Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712002962 TX Part B Supplier - Clinic/Group Practice 4789086844 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2238526Houston Medical-Mental Health Clinic2833 Spears Road, Suite C, Houston, TX 77067Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

2833 Spears Rd
Ste C
Houston, TX 77067
Phone (240) 701-4605

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1356925101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SPEARS RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671170",
            "telephone_number": "832-294-0867",
            "fax_number": "832-294-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 SPEARS RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671170",
            "telephone_number": "832-294-0867",
            "fax_number": "832-294-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON MEDICAL-MENTAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "EGEBE",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "EGO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "832-294-0867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Patient health information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2833 Spears Rd Ste C",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770671170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.