Active NPI
Elements of Change Assistive and Rehabilitve Services Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Houston, TX
National Provider Identifier
1366899536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- ELEMENTS OF CHANGE ASSISTIVE AND REHABILITVE SERVICES INC
- Practice address
- 340 N Sam Houston Pkwy E
299
Houston, TX 77060-3305 - Phone
- (832) 835-2200
- NPI assigned
- May 18, 2016
- 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
- Laquentin Jenkins
- Title
- Director
- Phone
- (832) 835-2200
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| PACE Provider Organization | 251T00000X | |||
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
340 N Sam Houston Pkwy E
299
Houston, TX 77060-3305
Mailing address
PO Box 3342
Spring, TX 77383
Phone (832) 835-2200
National Provider Directory
National Provider DirectoryLocations
340 N Sam Houston Pkwy E
Ste 299
Houston, TX 77060
Phone (832) 835-2200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1366899536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3342",
"city": "SPRING",
"state": "TX",
"postal_code": "77383",
"telephone_number": "832-835-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N SAM HOUSTON PKWY E",
"address_2": "299",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603305",
"telephone_number": "832-835-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMENTS OF CHANGE ASSISTIVE AND REHABILITVE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "LAQUENTIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-835-2200"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"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 May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.