Individual provider Active NPI

Andres Tapia, LPC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1699071852
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37760 Issued in TX
Practice address
5858 Westheimer Rd Ste 200
Houston, TX 77057-5643
Phone
(713) 487-9310
Fax
(713) 489-1719
NPI assigned
Feb 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65233 TX
Clinical Psychologist 103TC0700X 37760 TX Primary

Addresses

Primary practice location

5858 Westheimer Rd Ste 200
Houston, TX 77057-5643

Mailing address

5858 Westheimer Rd Ste 200
Houston, TX 77057-5643
Phone (713) 487-9310

Other practice location 1

5122 Rosa Allen St
Houston, TX 77017-4846
Phone (956) 223-0138

Other practice location 2

2121 Business Center Dr
Pearland, TX 77584-2153
Phone (346) 907-3000

Other identifiers 3

IdentifierTypeStateIssuer
138708611MedicaidTX
138708610MedicaidTX
138708601MedicaidTX

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
I20180214000348 TX Practitioner - Clinical Psychologist 9133489065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Percipio, PLLCGroup PAC ID 3971886508, 3 clinicians

Practice addresses (Care Compare)

2121 Business Ctr Dr
Pearland, TX 77584-2153
Phone (346) 907-3000

5858 Westheimer Rd
Suite 200
Houston, TX 77057-5643
Phone (713) 487-9310

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65233TXMDProfessional Counselor
37760TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Percipio PLLC Professional CurrentSince Jan 25, 2018 Accepting new patients

Locations

2603 Augusta Dr
Ste 260
Houston, TX 77057
Phone (713) 487-9310

5858 Westheimer Rd
Ste 200
Houston, TX 77057
Phone (713) 487-9310

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

Organizations & group practices 2

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1699071852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 WESTHEIMER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575643",
            "telephone_number": "713-487-9310",
            "fax_number": "713-489-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 WESTHEIMER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575643",
            "telephone_number": "713-487-9310",
            "fax_number": "713-489-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5122 Rosa Allen St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770174846",
            "country_code": "US",
            "telephone_number": "956-223-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775842153",
            "country_code": "US",
            "telephone_number": "346-907-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "ANDRES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65233",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138708611",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138708610",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138708601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.