Chisom Ike

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHISOM IKE

Doing business as

ChiChi Living Center

Practice address

9119 S Gessner Rd Ste 201
Houston, TX 77074-2845

Phone

(713) 771-1550

Fax

(713) 771-5968

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Chisom IkeNPI 1033314802

Title

Program Director

Phone

(713) 409-0685

Specialties & licenses 1

Addresses

Other names 1

• ChiChi Living Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chisom Ike

  • Mental Health Counselor
  • Houston, TX
  • NPI 1033314802
  NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1841973971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S GESSNER RD STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742845",
            "telephone_number": "713-771-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 S GESSNER RD STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742845",
            "telephone_number": "713-771-1550",
            "fax_number": "713-771-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISOM IKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "CHISOM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "713-409-0685"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiChi Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chism Group Inc (Direct Medical Inc)
• Chism Group, Inc (Direct Medical Inc)
• Charles Chism, M.D.
• Talia-Farrah Chism
• Olethia E. Chisolm, MD
• Chisom Medical Group LLC. (Cy-Fair Medical Supply)
• Mutinta Bettina Chisowa, MD
• Chistus Health
• Vida Chitsazzadeh, M.D. PH.D.
• Sasikala Chittimireddy, MD

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.