Active NPI
Lisa Eiland
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1750838173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104301
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427648641 | Medicaid | TX |
Other names 1
- Lisa Eiland
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210414001350 | TX | Practitioner - Clinical Social Worker | 4587070040 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.021579 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uniquely You Behavioral Health Services LLC | Clinical | Current | 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.
-
- Case Management Agency
- Houston, TX
- NPI 1427648641
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.