Active NPI
Elizabeth R Bobo, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1396216487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71416
- Practice address
- 9401 Southwest Fwy
Houston, TX 77074-1407 - Phone
- (713) 970-7000
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 71416 | TX | Primary |
Addresses
Primary practice location
9401 Southwest Fwy
Houston, TX 77074-1407
Mailing address
18707 Park Harbor Dr
Houston, TX 77084-3897
Phone (281) 814-4723
Other practice location 1
2100 Shadowdale Dr
Houston, TX 77043-2608
Phone (713) 722-0840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71416 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1396216487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18707 PARK HARBOR DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770843897",
"telephone_number": "281-814-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-7000"
}
],
"practiceLocations": [
{
"address_1": "2100 Shadowdale Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770432608",
"country_code": "US",
"telephone_number": "713-722-0840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOBO",
"first_name": "ELIZABETH",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71416",
"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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.