Active NPI
Porsha Bush
- Community/Behavioral Health Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 10039 Bissonnet St Ste 326
Houston, TX 77036-7840 - Phone
- (832) 577-0947
- NPI assigned
- May 29, 2019
- Last updated
- Nov 27, 2023
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Adult Day Care Clinic/Center | 261QA0600X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Home Delivered Meals | 332U00000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Pastoral Counselor | 101YP1600X | NU | ||
| Adult Companion | 372600000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Local Education Agency (LEA) | 251300000X | NU | ||
| Meals Provider | 174200000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
10039 Bissonnet St Ste 326
Houston, TX 77036-7840
Mailing address
10039 Bissonnet St Ste 326
Houston, TX 77036-7840
Phone (601) 878-1636
Other practice location 1
1121 Walden Legacy Way Apt 934
Knoxville, TN 37931-4789
Phone (865) 444-1174
Other practice location 2
2821 E Magnolia Ave
Knoxville, TN 37914-4514
Phone (601) 878-1636
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | electronic | ||
| CONNECT URL | enlightenmentfc@gmail.com | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porsha Bush | Meals | Current | Accepting new patients |
Locations
2821 E Magnolia Ave
Knoxville, TN 37914
Phone (601) 878-1636
10039 Bissonnet St
Ste 326
Houston, TX 77036
Phone (832) 421-4910
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Enlightenment Family Care
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1235797937
Meals
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1689232373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST STE 326",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367840",
"telephone_number": "601-878-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST STE 326",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367840",
"telephone_number": "832-577-0947"
}
],
"practiceLocations": [
{
"address_1": "1121 Walden Legacy Way Apt 934",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379314789",
"country_code": "US",
"telephone_number": "865-444-1174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2821 E Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379144514",
"country_code": "US",
"telephone_number": "601-878-1636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "PORSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2023-11-27",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "electronic",
"affiliation": "Y",
"address_1": "10039 Bissonnet St Ste 326",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770367840",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "enlightenmentfc@gmail.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2821 E Magnolia Ave",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379144514",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 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.