Organization Active NPI

Courage to Change, Inc.

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1962632687
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COURAGE TO CHANGE, INC.
Practice address
18065 Upper Bay Rd
Ste 209
Houston, TX 77058-3549
Phone
(713) 679-8767
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Edward Alexander Birts, PHD
Title
Administrator
Phone
(713) 679-8767

Specialties & licenses 1

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

Addresses

Primary practice location

18065 Upper Bay Rd
Ste 209
Houston, TX 77058-3549

Mailing address

18065 Upper Bay Rd
Ste 209
Houston, TX 77058-3549

Other identifiers 1

IdentifierTypeStateIssuer
158794101MedicaidTX

National Provider Directory

National Provider Directory

Locations

18065 Upper Bay Rd
Ste 209
Houston, TX 77058
Phone (713) 679-8767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1962632687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18065 UPPER BAY RD",
            "address_2": "STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18065 UPPER BAY RD",
            "address_2": "STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583549",
            "telephone_number": "713-679-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BIRTS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-679-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158794101",
            "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 15, 2009; 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.