Individual provider Active NPI

Michelle Koudsi, LMSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1417738733
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110327 Issued in TX
Practice address
1225 North Loop W Ste 935
Houston, TX 77008-1763
Phone
(832) 657-1764
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 110327 TX Primary

Addresses

Primary practice location

1225 North Loop W Ste 935
Houston, TX 77008-1763

Mailing address

1225 North Loop W Ste 935
Houston, TX 77008-1763
Phone (832) 657-1764

Other practice location 1

17110 House Hahl Rd
Cypress, TX 77433-8576
Phone (832) 422-8356

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110327TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Space Therapeutic, PLLC Clinical Current Accepting new patients
Chronically Empowered Therapy, PLLC Clinical Current Accepting new patients
Northeast Iowa Mental Health Center CurrentSince Oct 15, 2023 Accepting new patients
United Community Services, Inc. PastSince Oct 15, 2023 Accepting new patients

Locations

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

1225 North Loop W
Ste 935
Houston, TX 77008
Phone (281) 903-5897

Organizations & group practices 4

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1417738733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NORTH LOOP W STE 935",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081763",
            "telephone_number": "832-657-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NORTH LOOP W STE 935",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081763",
            "telephone_number": "832-657-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17110 House Hahl Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774338576",
            "country_code": "US",
            "telephone_number": "832-422-8356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUDSI",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110327",
            "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 May 8, 2026; 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.