Active NPI
Carol Ann Houston, ED.D.
- Psychologist
- Corpus Christi, TX
National Provider Identifier
1790794436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2688
- Practice address
- 4838 Holly Rd
Ste 201
Corpus Christi, TX 78411-4770 - Phone
- (361) 816-3628
- Fax
- (361) 356-4364
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2688 | TX | Primary |
Addresses
Primary practice location
4838 Holly Rd
Ste 201
Corpus Christi, TX 78411-4770
Mailing address
317 N Morningside St
Corpus Christi, TX 78404-2430
Phone (361) 816-3628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1731861-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2688 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1790794436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N MORNINGSIDE ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042430",
"telephone_number": "361-816-3628",
"fax_number": "361-356-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4838 HOLLY RD",
"address_2": "STE 201",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114770",
"telephone_number": "361-816-3628",
"fax_number": "361-356-4364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1731861-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.