Individual provider Active NPI

Marina Arnaud Rathjens, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1881361087
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105460 Issued in TX
Practice address
900 Lovett Blvd
Houston, TX 77006-3908
Phone
(713) 324-3754
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 105460 TX
Clinical Social Worker 1041C0700X 105460 TX Primary

Addresses

Primary practice location

900 Lovett Blvd
Houston, TX 77006-3908

Mailing address

12207 Harmony Hall CT
Pearland, TX 77584-4419
Phone (832) 330-8642

Other practice location 1

5757 Woodway Dr Ste 285
Houston, TX 77057-1533
Phone (713) 324-3754

Other identifiers 1

IdentifierTypeStateIssuer
842128921OtherTXSELF-INSURED

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL PRISM Health Information Exchange (HIE)
Other URL LOVETT Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105460TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ethos Prism, LLC Past Accepting new patients

Organizations & group practices 1

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1881361087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 HARMONY HALL CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844419",
            "telephone_number": "832-330-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LOVETT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063908",
            "telephone_number": "713-324-3754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 Woodway Dr Ste 285",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770571533",
            "country_code": "US",
            "telephone_number": "713-324-3754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNAUD RATHJENS",
        "first_name": "MARINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-03-14",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "105460",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF-INSURED",
            "identifier": "842128921",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PRISM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6750 West Loop S",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774014103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LOVETT",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "900 Lovett Blvd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770063908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 14, 2024; 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.