Organization Active NPI

Prosperity in Health

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1881850923
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36369 Issued in TX
Legal business name
PROSPERITY IN HEALTH
Practice address
4903 Ridge Harbor Dr
Houston, TX 77053-5319
Phone
(832) 343-5931
NPI assigned
Jul 29, 2008
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Ursula Denise Boykins, LBSW
Title
Clinical Director
Phone
(832) 343-5931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 36369 TX Primary

Addresses

Primary practice location

4903 Ridge Harbor Dr
Houston, TX 77053-5319

Mailing address

3139 W Holcombe Blvd
#173
Houston, TX 77025-1505
Phone (832) 343-5931

Other identifiers 4

IdentifierTypeStateIssuer
163938701MedicaidTX
164134201MedicaidTX
159235402MedicaidTX
178043701MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Prosperity in Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1881850923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD",
            "address_2": "#173",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251505",
            "telephone_number": "832-343-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 RIDGE HARBOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770535319",
            "telephone_number": "832-343-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY IN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BOYKINS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-343-5931",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163938701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164134201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159235402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178043701",
            "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 Jul 29, 2008; 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.