Rendie Brown, LMFT

Individual provider Active NPI Marriage & Family Therapist · Houston, TX

NPI 1386093458 · NPPES record last updated Mar 22, 2023

Key facts

NPI
1386093458
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
201892 (TX)
Practice address
2200 Space Park Dr Ste 240
Houston, TX 77058-3677
Phone
(281) 779-8619
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Ellie Clinic PC (4 clinicians)

Practice addresses (Care Compare)

2200 Space Park Dr
Suite 240
Houston, TX 77058-3881
Phone (281) 645-5264

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240301003058 TX Practitioner - Marriage and Family Therapist 4183085541 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
201892TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Family Services Marriage & Family Therapist Current
since Jan 5, 2023
Accepting new patients
Bellaire Ellie Clinic PC Current
since Feb 1, 2024
Accepting new patients
Apm Outreach, Inc Past
since Jul 24, 2022
Accepting new patients

Locations

6300 West Loop S
Ste 110
Bellaire, TX 77401
Phone (832) 924-0348

2200 Space Park Dr
Ste 240
Houston, TX 77058
Phone (281) 645-5264

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201892 TX Yes

Addresses

Primary practice location

2200 Space Park Dr Ste 240
Houston, TX 77058-3677

Mailing address

2200 Space Park Dr Ste 240
Houston, TX 77058-3677
Phone (281) 779-8619

Other providers in Houston, TX

All providers in Houston, TX · Marriage & Family Therapist in Texas

Sources for this page

Verify at the official NPI Registry.