Organization Active NPI

Collaborative Living Inc

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1891518908
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLLABORATIVE LIVING INC
Doing business as
Collaborativ Living
Collaborative Living
Practice address
1000 Main St Ste 2300
Houston, TX 77002-6353
Phone
(281) 810-3169
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Authorized official

Name
Ms. Kenyarda McCarter
Title
Ceo/ General Manager
Phone
(281) 810-3169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1000 Main St Ste 2300
Houston, TX 77002-6353

Mailing address

1000 Main St Ste 2300
Houston, TX 77002-6353
Phone (281) 810-3169

Other names 2

  • Collaborativ Living Doing business as
  • Collaborative Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733011200000",
    "number": "1891518908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST STE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026353",
            "telephone_number": "281-810-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST STE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026353",
            "telephone_number": "281-810-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "MCCARTER",
        "authorized_official_first_name": "KENYARDA",
        "authorized_official_title_or_position": "CEO/ GENERAL MANAGER",
        "authorized_official_telephone_number": "281-810-3169",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborativ Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collaborative Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 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.