Active NPI
Marina Arnaud Rathjens, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1881361087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842128921 | Other | TX | SELF-INSURED |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 105460 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- Houston, TX
- NPI 1932761897
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.