Organization Active NPI

Innovative Counseling Options of Houston PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1619353471
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52298 Issued in TX
Legal business name
INNOVATIVE COUNSELING OPTIONS OF HOUSTON PLLC
Practice address
5900 Memorial Dr Ste 218
Houston, TX 77007-8008
Phone
(281) 946-9567
Fax
(281) 496-2108
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Authorized official

Name
Jeanie Low, LCSWNPI 1417198623
Title
Director
Phone
28194695670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 52298 TX Primary

Addresses

Primary practice location

5900 Memorial Dr Ste 218
Houston, TX 77007-8008

Mailing address

5900 Memorial Dr Ste 218
Houston, TX 77007-8008
Phone (281) 946-9567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007002807 TX Part B Supplier - Clinic/Group Practice 3274841424 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

14441 Memorial Dr
Ste 12
Houston, TX 77079
Phone (281) 496-2107

25301 Borough Park Dr
Ste 201
The Woodlands, TX 77380
Phone (281) 946-9567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489190400000",
    "number": "1619353471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078008",
            "telephone_number": "281-946-9567",
            "fax_number": "281-496-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078008",
            "telephone_number": "281-946-9567",
            "fax_number": "281-496-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING OPTIONS OF HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2017-03-11",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "28194695670",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52298",
            "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 Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.