Individual provider Active NPI

Heidi Mandl

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1851746499
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50548 Issued in TX
Practice address
8950 Chimney Rock Rd Apt 9
Houston, TX 77096-2585
Phone
(832) 455-9167
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50548 TX Primary

Addresses

Primary practice location

8950 Chimney Rock Rd Apt 9
Houston, TX 77096-2585

Mailing address

8950 Chimney Rock Rd Apt 9
Houston, TX 77096-2585

Other identifiers 1

IdentifierTypeStateIssuer
50548OtherTXLCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160518002062 TX Practitioner - Clinical Social Worker 7719276542 Reassigns benefits to 4 organizations
I20250214003255 LA Practitioner - Clinical Social Worker 7719276542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50548TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Matters PLLC CurrentSince Nov 7, 2018 Accepting new patients
Foster Behavioral Healthcare LLC CurrentSince May 13, 2020 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Mar 14, 2022 Accepting new patients
Psych Matters PLLC CurrentSince Nov 7, 2018 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Mar 14, 2022 Accepting new patients
Supportive Care LLC CurrentSince Sep 25, 2020 Accepting new patients
Psy Matters, LLC PastSince Dec 8, 2024 Accepting new patients
Total Healing Community Health Center LLC PastSince Oct 1, 2015 Accepting new patients
Tamisika Psycorp PLLC Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

3509 Garth Rd
Baytown, TX 77521
Phone (832) 548-5215

4301 Garth Rd
Ste 302
Baytown, TX 77521
Phone (281) 420-8400

2001 E 29th St
Bryan, TX 77802
Phone (979) 822-6611

10440 N Central Expy
Ste 1040
Dallas, TX 75231
Phone (832) 225-3345

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

12148 Almeda Rd
Unit 1
Houston, TX 77045
Phone (713) 413-1844

4801 Woodway Dr
Ste 306W
Houston, TX 77056
Phone (832) 225-3345

17070 Red Oak Dr
Ste 209
Houston, TX 77090
Phone (281) 444-1715

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

9894 Bissonnet St
Ste 175
Houston, TX 77036
Phone (832) 925-8967

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 10

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1851746499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 CHIMNEY ROCK RD APT 9",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770962585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 CHIMNEY ROCK RD APT 9",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770962585",
            "telephone_number": "832-455-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDL",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "50548",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.