NPIMap

Organization Active NPI

Prosperity Behavioral Care

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1710196233
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14325 Issued in TX
Legal business name
PROSPERITY BEHAVIORAL CARE
Practice address
2646 S Loop W Ste 104
Houston, TX 77054-2677
Phone
(832) 775-5203
Fax
(346) 223-1898
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Vanavia Naomi Richardson, MBA
Title
Director
Phone
(832) 775-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 14325 TX Primary

Addresses

Primary practice location

2646 S Loop W Ste 104
Houston, TX 77054-2677

Mailing address

2646 S Loop W Ste 104
Houston, TX 77054-2677
Phone (832) 775-5203

Other practice location 1

10215 beechnut apt
#1410
Houston, TX 77072-5036
Phone (832) 494-0483

Other identifiers 1

IdentifierTypeStateIssuer
189407301MedicaidTX

Other names 2

  • PROSPERITY BEHAVIORAL Doing business as
  • Prosperity Behavioral Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Prosperity Behavioral Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1710196233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542677",
            "telephone_number": "832-775-5203",
            "fax_number": "346-223-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542677",
            "telephone_number": "832-775-5203",
            "fax_number": "346-223-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 beechnut apt",
            "address_2": "#1410",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770725036",
            "country_code": "US",
            "telephone_number": "832-494-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROSPERITY BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "VANAVIA",
        "authorized_official_middle_name": "NAOMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-775-5203",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189407301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROSPERITY BEHAVIORAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prosperity Behavioral Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.