Individual provider Active NPI

Demetra Landry-Durst, RSPS, PM/PRC,CHW,MHP

  • Peer Specialist
  • Houston, TX
National Provider Identifier
1578209136
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1098-0519 Issued in TX
Practice address
5144 E Sam Houston Pkwy N Ste 115
Houston, TX 77015-3225
Phone
(281) 864-5475
Fax
(346) 512-2499
NPI assigned
May 6, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X TX
Case Management Agency 251B00000X TX
Peer Specialist 175T00000X 1098-0519 TX Primary

Addresses

Primary practice location

5144 E Sam Houston Pkwy N Ste 115
Houston, TX 77015-3225

Mailing address

5144 E Sam Houston Pkwy N Ste 115
Houston, TX 77015-3225
Phone (281) 864-5475

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
1098-0519TXMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
In His Care Ministries Case Manager/Care Coordinator CurrentSince Oct 12, 2025 Accepting new patients
The Montrose Center PastSince May 1, 2022 Accepting new patients
Montrose Counseling Center, Inc. PastSince May 1, 2022 Accepting new patients

Locations

5144 E Sam Houston Pkwy N
Ste 115
Houston, TX 77015
Phone (281) 864-5475

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1578209136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "281-864-5475",
            "fax_number": "346-512-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "281-864-5475",
            "fax_number": "346-512-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY-DURST",
        "first_name": "DEMETRA",
        "credential": "RSPS, PM/PRC,CHW,MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "1098-0519",
            "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 Oct 7, 2025; 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.