NPIMap

Organization Active NPI

Houston Area Community Services, Inc.

Doing business as Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1477795417
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOUSTON AREA COMMUNITY SERVICES, INC.
Doing business as
Avenue 360 Health and Wellness
Practice address
2150 W 18TH St
Suite 300
Houston, TX 77008-5200
Phone
(713) 426-0027
Fax
(713) 426-0211
NPI assigned
Apr 6, 2009
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Dorothea Nwokeji
Title
Credentialing Specialist
Phone
(832) 890-7225

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Nurse Practitioner 363LP2300X
Women's Health Nurse Practitioner 363LW0102X
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Health Service Psychologist 103TH0100X
Social Worker 104100000X
Dentist 122300000X
Nutritionist 133N00000X
Licensed Practical Nurse 164W00000X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

2150 W 18TH St
Suite 300
Houston, TX 77008-5200

Mailing address

2150 W 18TH St
300
Houston, TX 77008-5200
Phone (713) 426-0027

Other practice location 1

14095 Main St
Houston, TX 77035-5447
Phone (713) 426-0027 ext. 07225

Other practice location 2

17010 Sugar Pine Dr
Houston, TX 77090-2213
Phone (713) 426-0027 ext. 07225

Other practice location 3

2920 Fannin St
Houston, TX 77002-9222
Phone (713) 426-0027

Other practice location 4

902 Frostwood Dr Ste 142
Houston, TX 77024-2401
Phone (713) 426-0027

Other practice location 5

18842 S Memorial Dr Ste 206
Humble, TX 77338-4229
Phone (713) 426-0027 ext. 07225

Other identifiers 1

IdentifierTypeStateIssuer
202850801MedicaidTX

Other names 1

  • Avenue 360 Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071115000320 TX Part B Supplier - Clinic/Group Practice 6608977095 Receives reassigned benefits from 41 practitioners
7 other NPIs on this enrollment
Practice locations: Humble, TX; Houston, TX
O20090604000096 TX Part A Provider - Federally Qualified Health Center (FQHC) 6608977095 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477795417. Details of each certification follow.

Federally qualified health center certification: CCN 671910

Legal name
HOUSTON AREA COMMUNITY SERVICES, INC.
Doing business as
AVENUE 360 HEALTH AND WELLNESS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 19, 2009
Last certification
Jun 19, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2002 in TX
Enrollment address
2150 West 18TH Street
Suite 300
Houston, TX 77008-1289

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

17010 Sugar Pine Dr
Houston, TX 77090
Phone (281) 537-1491

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tequila Henderson Individual W-2 Managing EmployeeAdministrator Sep 1, 2023
Houston Area Community Services, Inc. Organization, Houston, TX Non-profit Other Sep 1, 2023
Michael Clayton Individual W-2 Managing EmployeeAdministrator Sep 1, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avenue 360 Health and Wellness - Spring CypressHouston, TX, CCN 741872 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2014
Avenue 360 Health and Wellness MidtownHouston, TX, CCN 451159 Federally qualified health center Operational/Managerial Control Mar 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1477795417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST",
            "address_2": "300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770085200",
            "telephone_number": "713-426-0027",
            "fax_number": "713-426-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770085200",
            "telephone_number": "713-426-0027",
            "fax_number": "713-426-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14095 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770355447",
            "country_code": "US",
            "telephone_number": "713-426-0027 x07225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17010 Sugar Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902213",
            "country_code": "US",
            "telephone_number": "713-426-0027 x07225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770029222",
            "country_code": "US",
            "telephone_number": "713-426-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Frostwood Dr Ste 142",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242401",
            "country_code": "US",
            "telephone_number": "713-426-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18842 S Memorial Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384229",
            "country_code": "US",
            "telephone_number": "713-426-0027 x07225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSTON AREA COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "NWOKEJI",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "832-890-7225"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202850801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue 360 Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.