Individual provider Active NPI

Verna Wafer Humphrey, LMSW

  • Clinical Social Worker
  • Deer Park, TX
National Provider Identifier
1407025190
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34775 Issued in TX
Practice address
2705 Crestwood Dr
Deer Park, TX 77536-3593
Phone
(281) 930-9119
Fax
(281) 930-8683
NPI assigned
Feb 26, 2008
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 34775 TX
Mental Health Counselor 101YM0800X NU
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X NU
Social Worker 104100000X 34775 TX
Clinical Social Worker 1041C0700X 34775 TX Primary

Addresses

Primary practice location

2705 Crestwood Dr
Deer Park, TX 77536-3593

Mailing address

10412 Spencer Hwy
La Porte, TX 77571-4300
Phone (832) 276-4942

Other practice location 1

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Other practice location 2

4411 Dacoma St
Houston, TX 77092-8611
Phone (713) 686-9194

Other practice location 3

8000 West Ave Ste 1
San Antonio, TX 78213-1837
Phone (713) 686-9194

Other practice location 4

6518 Baker Blvd
Richland Hills, TX 76118-6292
Phone (713) 686-9194

Other practice location 5

4131 Spicewood Springs Rd Ste J1
Austin, TX 78759-8600
Phone (713) 686-9194

Other identifiers 1

IdentifierTypeStateIssuer
182284310MedicaidTX

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
I20090121000685 TX Practitioner - Clinical Social Worker 9234293176 Practice locations: La Porte, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

712 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6240
Phone (832) 276-4942

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
78.41
Improvement activities
40
Cost
77.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deblin Health Concepts & Associates, LLC Mental Health CurrentSince Sep 13, 2019 Accepting new patients
The Harris Center for Mental Health and Idd CurrentSince Dec 9, 2019 Accepting new patients
Verna Wafer Humphrey Past Accepting new patients

Locations

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

4131 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 241-0974

4131 Spicewood Springs Rd
Ste J1
Austin, TX 78759
Phone 7136869194 ext. 69194

1214 N Post Oak Rd
Ste 100
Houston, TX 77055
Phone (713) 681-9100

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

4411 Dacoma St
Houston, TX 77092
Phone (337) 257-6185

6110 Pinemont Dr
Ste 106
Houston, TX 77092

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

6518 Baker Blvd
Richland Hills, TX 76118
Phone (281) 674-7145

8000 West Ave
Ste 1
San Antonio, TX 78213
Phone (210) 580-4149

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1407025190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 SPENCER HWY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714300",
            "telephone_number": "832-276-4942",
            "fax_number": "281-542-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 CRESTWOOD DR",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775363593",
            "telephone_number": "281-930-9119",
            "fax_number": "281-930-8683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 Dacoma St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928611",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 West Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131837",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6518 Baker Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761186292",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Spicewood Springs Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "VERNA",
        "middle_name": "WAFER",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "34775",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "34775",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182284310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

Verify at the official NPI Registry.