Individual provider Active NPI

John Paul Kendrick, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
National Provider Identifier
1427790922
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103575 Issued in TX
Practice address
171 W Russet Grove Cir
The Woodlands, TX 77384-3827
Phone
(281) 209-5371
NPI assigned
Apr 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 103575 TX Primary

Addresses

Primary practice location

171 W Russet Grove Cir
The Woodlands, TX 77384-3827

Mailing address

171 W Russet Grove Cir
The Woodlands, TX 77384-3827
Phone (281) 825-2303

Other practice location 1

25511 Budde Rd Ste 3501
Spring, TX 77380-4006
Phone (281) 752-6890

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
I20250107000801 TX Practitioner - Clinical Social Worker 0547798407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

8665 New Trails Dr
Suite 185
The Woodlands, TX 77381-4272
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103575TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilience Center of Houston, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

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.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1427790922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W RUSSET GROVE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773843827",
            "telephone_number": "281-825-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W RUSSET GROVE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773843827",
            "telephone_number": "281-209-5371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25511 Budde Rd Ste 3501",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773804006",
            "country_code": "US",
            "telephone_number": "281-752-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-05-13",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.