Individual provider Active NPI

Holly Ann Horan, LCSW-S, LCDC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1912478504
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60790 Issued in TX
Practice address
2339 Commerce St Ste 101
Houston, TX 77002-2319
Phone
(832) 775-8003
NPI assigned
Dec 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14438 TX
Clinical Social Worker 1041C0700X 60790 TX Primary

Addresses

Primary practice location

2339 Commerce St Ste 101
Houston, TX 77002-2319

Mailing address

2339 Commerce St Ste 101
Houston, TX 77002-2319
Phone (832) 775-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327000806 TX Practitioner - Clinical Social Worker 6002280476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2239 Commerce St
Suite 101
Houston, TX 77002-2317
Phone (832) 356-3694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60790TXMDClinical Social Worker
14438TXMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Growth Counseling, PLLC CurrentSince Feb 17, 2023 Accepting new patients

Locations

2339 Commerce St
Ste 101
Houston, TX 77002
Phone (832) 775-8003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1912478504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 COMMERCE ST STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022319",
            "telephone_number": "832-775-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 COMMERCE ST STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022319",
            "telephone_number": "832-775-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "LCSW-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-08",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14438",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.