Individual provider Active NPI

Amethyst St Thomas

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1679038111
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108783 Issued in TX
Practice address
1415 California St
Houston, TX 77006-2602
Phone
(832) 548-5000
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16996 FL
Clinical Social Worker 1041C0700X 0904015053 VA
Clinical Social Worker 1041C0700X 200001840 DC
Clinical Social Worker 1041C0700X 108783 TX Primary
Clinical Social Worker 1041C0700X 31820 MD

Addresses

Primary practice location

1415 California St
Houston, TX 77006-2602

Mailing address

1415 California St
Houston, TX 77006-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190702002337 FL Practitioner - Clinical Social Worker 6608100102
I20220926000752 TX Practitioner - Clinical Social Worker 6608100102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200001840DCMDClinical Social Worker
31820MDMDClinical Social Worker
108783TXMDClinical Social Worker
0904015053VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA CurrentSince Jan 1, 2025 Accepting new patients
Iora Health Texas, PLLC PastSince Oct 12, 2025 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

Interoperability endpoints

  • Direct secure messaging: astthomas@euchc.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1679038111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CALIFORNIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CALIFORNIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062602",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST THOMAS",
        "first_name": "AMETHYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015053",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "200001840",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108783",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "31820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.