Organization Active NPI

Marian Redsun, Therapy

  • Clinical Social Worker
  • Magnolia, TX
National Provider Identifier
1881460848
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARIAN REDSUN, THERAPY
Practice address
15356 Legacy Park Way
Magnolia, TX 77354-7182
Phone
(832) 510-0373
NPI assigned
Nov 30, 2023
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Marian Redsun, LCSWNPI 1427685353
Title
Owner
Phone
(832) 510-0373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

15356 Legacy Park Way
Magnolia, TX 77354-7182

Mailing address

15356 Legacy Park Way
Magnolia, TX 77354-7182
Phone (832) 510-0373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503002365 TX Part B Supplier - Clinic/Group Practice 2567802770 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, TX

National Provider Directory

National Provider Directory

Locations

18640 FM 1488 Rd
#A282
Magnolia, TX 77354
Phone (832) 510-0373

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1881460848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15356 LEGACY PARK WAY",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547182",
            "telephone_number": "832-510-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15356 LEGACY PARK WAY",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547182",
            "telephone_number": "832-510-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN REDSUN, THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "REDSUN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-510-0373",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.