NPIMap

Organization Active NPI

Tri-County Behavioral Healthcare

  • Multi-Specialty Clinic/Center
  • Conroe, TX
National Provider Identifier
1851333074
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRI-COUNTY BEHAVIORAL HEALTHCARE
Practice address
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Phone
(936) 521-6100
Fax
(936) 760-2898
NPI assigned
Jun 12, 2006
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Stella Montemayor
Title
Credentialing Specilist
Phone
(936) 521-6109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990

Mailing address

PO Box 3067
Conroe, TX 77305-3067
Phone (936) 521-6100

Other practice location 1

1506 Fm 2854 Rd
Conroe, TX 77304-2206
Phone (936) 521-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000528 TX Part B Supplier - Clinic/Group Practice 5991754772 Receives reassigned benefits from 86 practitioners
Practice locations: Huntsville, TX; Liberty, TX; Conroe, TX; Cleveland, TX

National Provider Directory

National Provider Directory

Locations

2004 Truman St
Cleveland, TX 77327
Phone (281) 432-3000

103 N Thompson St
Conroe, TX 77301
Phone (936) 521-6260

1506 FM 2854 Rd
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

7045 Highway 75 S
Huntsville, TX 77340
Phone (936) 281-5800

2000 Panther Ln
Liberty, TX 77575
Phone (936) 334-3299

612 Highway 90
Liberty, TX 77575
Phone (936) 334-3299

23750 FM 1314 Rd
Porter, TX 77365
Phone (281) 354-3383

Practitioners & affiliated clinicians

Practitioners 158

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.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1851333074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773053067",
            "telephone_number": "936-521-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SGT ED HOLCOMB BLVD S",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041990",
            "telephone_number": "936-521-6100",
            "fax_number": "936-760-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 Fm 2854 Rd",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042206",
            "country_code": "US",
            "telephone_number": "936-521-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-COUNTY BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "MONTEMAYOR",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CREDENTIALING SPECILIST",
        "authorized_official_telephone_number": "936-521-6109"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.