Individual provider Active NPI

Courtney Eve Holbrook, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1407512106
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103789 Issued in TX
Practice address
18800 Egret Bay Blvd Apt 602
Houston, TX 77058-3290
Phone
(346) 435-5160
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103789 TX Primary

Addresses

Primary practice location

18800 Egret Bay Blvd Apt 602
Houston, TX 77058-3290

Mailing address

18800 Egret Bay Blvd Apt 602
Houston, TX 77058-3290
Phone (346) 435-5160

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.psychologytoday.com/us/therapists/courtney-holbrook-houston-tx/892783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220404001475 TX Practitioner - Clinical Social Worker 4082000872 Reassigns benefits to 2 organizations
I20240626004590 CO Practitioner - Clinical Social Worker 4082000872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince May 5, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 19, 2023 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1407512106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 EGRET BAY BLVD APT 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583290",
            "telephone_number": "346-435-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 EGRET BAY BLVD APT 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583290",
            "telephone_number": "346-435-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "COURTNEY",
        "middle_name": "EVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/courtney-holbrook-houston-tx/892783",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Psychology Today Website",
            "address_1": "18800 Egret Bay Blvd Apt 602",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770583290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.