Active NPI
Kandi Rokeysha Briscoe, LCSW-S
- Case Management Agency
- Pearland, TX
National Provider Identifier
1588020796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 61778
- Practice address
- 2908 Silhouette Bay Dr
Pearland, TX 77584-3470 - Phone
- (409) 210-9717
- Fax
- (409) 220-0110
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61778 | TX | |
| Case Manager/Care Coordinator | 171M00000X | 61778 | TX | |
| Case Management Agency | 251B00000X | 61778 | TX | Primary |
Addresses
Primary practice location
2908 Silhouette Bay Dr
Pearland, TX 77584-3470
Mailing address
2002 Holcombe Blvd
Houston, TX 77030-4211
Phone (713) 791-1414
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61778 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solidarityee, PLLC | Clinical | Current | Accepting new patients |
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": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1588020796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "713-791-1414",
"fax_number": "713-794-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 SILHOUETTE BAY DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843470",
"telephone_number": "409-210-9717",
"fax_number": "409-220-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "KANDI",
"middle_name": "ROKEYSHA",
"name_prefix": "Mrs.",
"credential": "LCSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61778",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "61778",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "61778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.