Organization Active NPI

The Integrated Self, PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1417696642
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE INTEGRATED SELF, PLLC
Practice address
9320 Emnora LN # 430603
Houston, TX 77080-4426
Phone
(713) 364-5006
NPI assigned
Jun 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Authorized official

Name
Mrs. Anne King, LCSWNPI 1801540513
Title
Co-Ceo
Phone
(713) 364-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9320 Emnora LN # 430603
Houston, TX 77080-4426

Mailing address

9320 Emnora LN # 430603
Houston, TX 77080-4426

National Provider Directory

National Provider Directory

Locations

9320 Emnora Ln
#430603
Houston, TX 77080
Phone (713) 364-5006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1417696642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 EMNORA LN # 430603",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770804426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 EMNORA LN # 430603",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770804426",
            "telephone_number": "713-364-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INTEGRATED SELF, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "713-364-5006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jun 4, 2022; 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.