Organization Active NPI

Uncharted Territory Mental Health PLLC

Doing business as Uncharted Territory Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1841892551
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
UNCHARTED TERRITORY MENTAL HEALTH PLLC
Doing business as
Uncharted Territory Mental Health Services
Practice address
507 N Sam Houston Pkwy E Ste 165
Houston, TX 77060-4081
Phone
(832) 546-0643
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
William Jemal Hill, PMHNP-BCNPI 1902407463
Title
Ceo
Phone
(832) 546-0643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Professional Counselor 101YP2500X NU
Registered Nurse 163W00000X NU

Addresses

Primary practice location

507 N Sam Houston Pkwy E Ste 165
Houston, TX 77060-4081

Mailing address

23126 Bayleaf Dr
Spring, TX 77373-6486
Phone (318) 268-5619

Other names 1

  • Uncharted Territory Mental Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317002643 TX Part B Supplier - Clinic/Group Practice 3274946934 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

507 N Sam Houston Pkwy E
Ste 165
Houston, TX 77060
Phone (832) 546-0643

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1841892551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23126 BAYLEAF DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773736486",
            "telephone_number": "318-268-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N SAM HOUSTON PKWY E STE 165",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604081",
            "telephone_number": "832-546-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCHARTED TERRITORY MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-546-0643",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uncharted Territory Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.