Individual provider Active NPI

Nicole L Price, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1700397726
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135529 Issued in TX
Practice address
550 Westcott St Ste 520
Houston, TX 77007-9001
Phone
(713) 864-6694
Fax
(713) 864-6698
NPI assigned
Oct 17, 2017
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135529 TX Primary

Addresses

Primary practice location

550 Westcott St Ste 520
Houston, TX 77007-9001

Mailing address

4802 Martin Oaks LN
Houston, TX 77018
Phone (334) 444-9119

Other names 1

  • Nicole Anise Lisberg Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212002827 TX Practitioner - Nurse Practitioner 0840558250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Matters Psychiatry PLLCGroup PAC ID 0547610438, 7 clinicians

Practice addresses (Care Compare)

4502 Riverstone Blvd
Suite 601
Missouri City, TX 77459-5205
Phone (281) 778-9530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135529TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA CurrentSince Aug 28, 2024 Accepting new patients
Mind Matters Psychiatry PLLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200

1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268

7777 Forest Ln
Ste 833
Dallas, TX 75230
Phone (972) 566-4591

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

4502 Riverstone Blvd
Ste 601
Missouri City, TX 77459
Phone (281) 778-9530

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1700397726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 MARTIN OAKS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "334-444-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WESTCOTT ST STE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770079001",
            "telephone_number": "713-864-6694",
            "fax_number": "713-864-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LISBERG",
            "middle_name": "ANISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.