Organization Active NPI

Rollie B. Elizondo Psychotherapy & Counseling PLLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1366064073
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROLLIE B. ELIZONDO PSYCHOTHERAPY & COUNSELING PLLC
Practice address
310 Sul Ross St
Houston, TX 77006-5116
Phone
(713) 494-0502
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Mr. Rollie Elizondo Jr., LCSW
Title
Therapist
Phone
(713) 364-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

310 Sul Ross St
Houston, TX 77006-5116

Mailing address

310 Sul Ross St
Houston, TX 77006-5116
Phone (713) 364-6755

National Provider Directory

National Provider Directory

Locations

310 Sul Ross St
Houston, TX 77006
Phone (713) 730-9276

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": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1366064073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SUL ROSS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065116",
            "telephone_number": "713-364-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SUL ROSS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065116",
            "telephone_number": "713-494-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLIE B. ELIZONDO PSYCHOTHERAPY & COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "ROLLIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "713-364-6755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Dec 7, 2020; 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.