Individual provider Active NPI

Lisa Eiland

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1750838173
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104301 Issued in TX
Practice address
9894 Bissonnet St Ste 330
Houston, TX 77036-8241
Phone
(713) 497-5344
Fax
(713) 513-5439
NPI assigned
Sep 1, 2016
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IL
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 149.021579 IL
Clinical Social Worker 1041C0700X 104301 TX Primary

Addresses

Primary practice location

9894 Bissonnet St Ste 330
Houston, TX 77036-8241

Mailing address

9894 Bissonnet St Ste 330
Houston, TX 77036-8241
Phone (708) 275-6389

Other practice location 1

10001 Grand Ave
Franklin Park, IL 60131-2563
Phone (847) 451-4061 ext. 5340

Other identifiers 1

IdentifierTypeStateIssuer
1427648641MedicaidTX

Other names 1

  • Lisa Eiland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@uniquelyyoubhs.org Health Information Exchange (HIE)

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
I20210414001350 TX Practitioner - Clinical Social Worker 4587070040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021579ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uniquely You Behavioral Health Services LLC Clinical CurrentSince Nov 13, 2022 Accepting new patients

Locations

9894 Bissonnet St
Ste 330
Houston, TX 77036
Phone (713) 384-2907

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1750838173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368241",
            "telephone_number": "708-275-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368241",
            "telephone_number": "713-497-5344",
            "fax_number": "713-513-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "IL",
            "postal_code": "601312563",
            "country_code": "US",
            "telephone_number": "847-451-4061 x5340",
            "fax_number": "847-451-0761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EILAND",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021579",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427648641",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@uniquelyyoubhs.org",
            "affiliation": "N",
            "endpointDescription": "company web site email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company address",
            "address_1": "9894 Bissonnet St Ste 330",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770368241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "EILAND",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.