Organization Active NPI

Sunrise Psychotherapy, LLC

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1699147793
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32342 Issued in TX
Legal business name
SUNRISE PSYCHOTHERAPY, LLC
Practice address
6601 Cypresswood Dr
201
Spring, TX 77379-7891
Phone
(281) 203-1843
NPI assigned
Oct 28, 2015
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Veronica Mena Funke, LCSWNPI 1588683643
Title
Owner
Phone
(281) 203-1843

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 Worker 1041C0700X 32342 TX Primary

Addresses

Primary practice location

6601 Cypresswood Dr
201
Spring, TX 77379-7891

Mailing address

6601 Cypresswood Dr
201
Spring, TX 77379-7891
Phone (281) 203-1843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419002439 TX Part B Supplier - Clinic/Group Practice 9739487067 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

4606 FM 1960 Rd W
Ste 580
Houston, TX 77069
Phone (281) 203-1843

6601 Cypresswood Dr
Ste 201
Spring, TX 77379
Phone (281) 803-5860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1699147793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CYPRESSWOOD DR",
            "address_2": "201",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797891",
            "telephone_number": "281-203-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CYPRESSWOOD DR",
            "address_2": "201",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797891",
            "telephone_number": "281-203-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "FUNKE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-203-1843",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.