Individual provider Active NPI

Eled Shkurti, LCSW LCDC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1821704024
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104319 Issued in TX
Practice address
19500 St Hwy 249 Ste 120
Houston, TX 77070-3027
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14755 TX
Social Worker 104100000X 104319 TX
Clinical Social Worker 1041C0700X 104319 TX Primary

Addresses

Primary practice location

19500 St Hwy 249 Ste 120
Houston, TX 77070-3027

Mailing address

16734 Thorn Cypress Dr
Cypress, TX 77429-4179
Phone (713) 894-3107

Other practice location 1

16734 Thorn Cypress Dr
Cypress, TX 77429-4179
Phone (713) 894-3107

Other practice location 2

6300 Chimney Rock Rd
Houston, TX 77081-4502
Phone (713) 894-3107

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
I20250428000671 TX Practitioner - Clinical Social Worker 1658897244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104319TXMDSocial Worker
14755TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Behavioral Health LLC CurrentSince Oct 6, 2025 Accepting new patients
Altura Recovery LLC CurrentSince Oct 6, 2025 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

5555 West Loop S
Ste 240
Bellaire, TX 77401
Phone (713) 766-1330

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1821704024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16734 THORN CYPRESS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294179",
            "telephone_number": "713-894-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 ST HWY 249 STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703027",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16734 Thorn Cypress Dr",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774294179",
            "country_code": "US",
            "telephone_number": "713-894-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Chimney Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770814502",
            "country_code": "US",
            "telephone_number": "713-894-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHKURTI",
        "first_name": "ELED",
        "name_prefix": "Mr.",
        "credential": "LCSW LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14755",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.