Active NPI
Danilo Jose Novoa, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1497938393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38953
- Practice address
- 4617 Montrose Blvd
Suite C206
Houston, TX 77006-6101 - Phone
- (713) 992-5010
- Fax
- (888) 480-8948
- NPI assigned
- Dec 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9717 | TX | |
| Clinical Social Worker | 1041C0700X | 38953 | TX | Primary |
Addresses
Primary practice location
4617 Montrose Blvd
Suite C206
Houston, TX 77006-6101
Mailing address
415 E 27TH St
Houston, TX 77008-2203
Phone (713) 992-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB111128 | Other | TX | TRAILBLAZER ENTERPRISES (MEDICARE/CMS) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101105000795 | TX | Practitioner - Clinical Social Worker | 9739166562 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
415 E 27TH St
Houston, TX 77008-2203
428 Lovett Blvd
Houston, TX 77006-4019
Phone (713) 992-5010
4318 Stanford St
Houston, TX 77006-5930
Phone (713) 992-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38953 | TX | MD | Psychologist |
| 991 | HI | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin G. Smith PHD and Associates | Past | Accepting new patients | |
| Malik Naz, M.D., P.a | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Houston, TX
- NPI 1043402167
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1982850954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1497938393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E 27TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082203",
"telephone_number": "713-992-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 MONTROSE BLVD",
"address_2": "SUITE C206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066101",
"telephone_number": "713-992-5010",
"fax_number": "888-480-8948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOA",
"first_name": "DANILO",
"middle_name": "JOSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-13",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "9717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAILBLAZER ENTERPRISES (MEDICARE/CMS)",
"identifier": "TXB111128",
"state": "TX"
}
],
"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 Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.