NPIMap

Organization Active NPI

Life Span Mental Health, PLLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1396166526
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
776641 Issued in TX
Legal business name
LIFE SPAN MENTAL HEALTH, PLLC
Practice address
2424 W Holcombe Blvd
204
Houston, TX 77030-1934
Phone
(713) 521-5930
Fax
(713) 521-5832
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Kelly Van Norton, APN
Title
Nurse Practitioner
Phone
(832) 723-3884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 776641 TX Primary

Addresses

Primary practice location

2424 W Holcombe Blvd
204
Houston, TX 77030-1934

Mailing address

2424 W Holcombe Blvd
204
Houston, TX 77030-1934
Phone (713) 521-5930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1396166526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W HOLCOMBE BLVD",
            "address_2": "204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301934",
            "telephone_number": "713-521-5930",
            "fax_number": "713-521-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W HOLCOMBE BLVD",
            "address_2": "204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301934",
            "telephone_number": "713-521-5930",
            "fax_number": "713-521-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPAN MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "VAN NORTON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-723-3884",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "776641",
            "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 13, 2013; 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.