Individual provider Active NPI

Deidre Houston

  • Social Worker
  • Chelsea, AL
National Provider Identifier
1528678471
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
109 Foothills Pkwy Ste 113
Chelsea, AL 35043-8236
Phone
(205) 618-9899
Fax
(205) 618-9706
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

109 Foothills Pkwy Ste 113
Chelsea, AL 35043-8236

Mailing address

1830 Montclair Rd Ste a
Irondale, AL 35210-2645
Phone (205) 775-0300

Other practice location 1

915 22nd Ave
Tuscaloosa, AL 35401-2328
Phone (205) 764-1358

Other practice location 2

1810 3rd Ave S Ste 101
Jasper, AL 35501-5399
Phone (205) 512-1015

Other practice location 3

1830 Montclair Rd Ste A
Irondale, AL 35210-2645
Phone (205) 775-0300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kolbe Clinic LLC Current Accepting new patients

Locations

109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

1810 3rd Ave S
Ste 101
Jasper, AL 35501
Phone (205) 512-1015

915 22nd Ave
Tuscaloosa, AL 35401
Phone (205) 764-1358

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1528678471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MONTCLAIR RD STE A",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102645",
            "telephone_number": "205-775-0300",
            "fax_number": "205-618-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FOOTHILLS PKWY STE 113",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438236",
            "telephone_number": "205-618-9899",
            "fax_number": "205-618-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012328",
            "country_code": "US",
            "telephone_number": "205-764-1358",
            "fax_number": "205-618-9706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 3rd Ave S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355015399",
            "country_code": "US",
            "telephone_number": "205-512-1015",
            "fax_number": "205-618-9706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 Montclair Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Irondale",
            "state": "AL",
            "postal_code": "352102645",
            "country_code": "US",
            "telephone_number": "205-775-0300",
            "fax_number": "205-618-9706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "DEIDRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.