Individual provider Active NPI

Rendie Brown, LMFT

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1386093458
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201892 Issued in TX
Practice address
2200 Space Park Dr Ste 240
Houston, TX 77058-3677
Phone
(281) 779-8619
NPI assigned
Jun 8, 2016
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Ellie Clinic PCGroup PAC ID 4981065596, 4 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201892TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Family Services Marriage & Family Therapist CurrentSince Jan 5, 2023 Accepting new patients
Bellaire Ellie Clinic PC CurrentSince Feb 1, 2024 Accepting new patients
Apm Outreach, Inc PastSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1386093458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583677",
            "telephone_number": "281-779-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583677",
            "telephone_number": "281-779-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RENDIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.