Active NPI
Johanna Pule, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1851816490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 53163
- Practice address
- 7322 Southwest Fwy Ste 1-0670
Houston, TX 77074-2010 - Phone
- (346) 319-4709
- Fax
- (361) 298-1936
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 53163 | TX | Primary |
Addresses
Primary practice location
7322 Southwest Fwy Ste 1-0670
Houston, TX 77074-2010
Mailing address
10711 Moonlight Dr
Houston, TX 77096-6223
Phone (346) 319-4709
Other practice location 1
4660 Beechnut St Ste 220
Houston, TX 77096-1817
Phone (469) 387-0219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378458903 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664582400000",
"number": "1851816490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10711 MOONLIGHT DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770966223",
"telephone_number": "346-319-4709",
"fax_number": "361-298-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7322 SOUTHWEST FWY STE 1-0670",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742010",
"telephone_number": "346-319-4709",
"fax_number": "361-298-1936"
}
],
"practiceLocations": [
{
"address_1": "4660 Beechnut St Ste 220",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770961817",
"country_code": "US",
"telephone_number": "469-387-0219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULE",
"first_name": "JOHANNA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2022-10-01",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "53163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378458903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.