Active NPI
Kolaiah'S House
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1366014755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- KOLAIAH'S HOUSE
- Practice address
- 10303 Northwest Fwy Ste 350
Houston, TX 77092-8222 - Phone
- (832) 335-0633
- NPI assigned
- Jul 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fredrick W Shaw, CART, LCDC
- Title
- Owner
- Phone
- (832) 335-0633
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
10303 Northwest Fwy Ste 350
Houston, TX 77092-8222
Mailing address
401 Oriole St
Houston, TX 77018-6626
Phone (832) 335-0633
Other names 1
- Kolaiah's House
National Provider Directory
National Provider DirectoryLocations
10303 Northwest Fwy
Ste 350
Houston, TX 77092
Phone (832) 335-0633
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Houston, TX
- NPI 1346787819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1366014755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ORIOLE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770186626",
"telephone_number": "832-335-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 NORTHWEST FWY STE 350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770928222",
"telephone_number": "832-335-0633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOLAIAH'S HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-01",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "FREDRICK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-335-0633",
"authorized_official_credential": "CART, LCDC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kolaiah's House",
"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 Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.