Individual provider Active NPI

Tarina Watson

  • Clinical Social Worker
  • Katy, TX
National Provider Identifier
1609395532
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6020 Grand Colony Dr
Katy, TX 77449-4849
Phone
(512) 785-2772
NPI assigned
Sep 12, 2017
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

6020 Grand Colony Dr
Katy, TX 77449-4849

Mailing address

3007 Caroline St
Houston, TX 77004-2822

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027000496 TX Practitioner - Clinical Social Worker 6406122944 Reassigns benefits to 4 organizations
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58016TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Bright Future, LLC Single Specialty CurrentSince Dec 2, 2019 Accepting new patients
Ace Behavioral Health Services Single Specialty CurrentSince Feb 22, 2022 Accepting new patients
Foster Behavioral Healthcare LLC Single Specialty CurrentSince Oct 3, 2023 Accepting new patients
Healing Hearts Presents Reality Productions, LLC Clinical CurrentSince Dec 27, 2022 Accepting new patients

Locations

12148 Almeda Rd
Unit 1
Houston, TX 77045
Phone (713) 413-1844

17550 W Little York Rd
Ste 7
Houston, TX 77084
Phone (512) 785-2772

2626 S Loop W
Ste 430
Houston, TX 77054
Phone (713) 333-3771

Organizations & group practices 4

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1609395532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 GRAND COLONY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494849",
            "telephone_number": "512-785-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.