Organization Active NPI

The Children'S Assessment Center Foundation

Mental Health Counselor
Houston, TX

National Provider Identifier

1972543833

Registry record updated Oct 23, 2013

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Houston, TX
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Mental Health CounselorTaxonomy code 101YM0800X
License: 17862 Issued in TX
Legal business name: THE CHILDREN'S ASSESSMENT CENTER FOUNDATION
Practice address: 2500 Bolsover
Houston, TX 77005
Phone: (713) 986-3300
Fax: (713) 986-3553
NPI assigned: Jun 8, 2006
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name: Mrs. Elizabeth Runge
Title: Cfo
Phone: (713) 986-3485

Specialties & licenses 15

Specialty (taxonomy)	Code	License	State	Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	17862	TX	Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	18746	TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	18911	TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	11940	TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	16863	TX
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP	103TC0700X	31259	TX
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP	103TC0700X	32425	TX
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP	103TC0700X	24946	TX
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP	103TC0700X	31778	TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	26546	TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	34824	TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	29189	TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	23018	TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	22477	TX
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	2084P0800X	L7434	TX

Addresses

Primary practice location

2500 Bolsover
Houston, TX 77005

Mailing address

2500 Bolsover
Houston, TX 77005
Phone (713) 986-3300

Other identifiers 16

Identifier	Type	State
040686003	Medicaid	TX
171048501	Medicaid	TX
042323801	Medicaid	TX
152197301	Medicaid	TX
153993401	Medicaid	TX
040542501	Medicaid	TX
039998201	Medicaid	TX
00U18M	Medicaid	TX
171045101	Medicaid	TX
095737503	Medicaid	TX
177683301	Medicaid	TX
040247101	Medicaid	TX
151734401	Medicaid	TX
159606601	Medicaid	TX
171047701	Medicaid	TX
177067901	Medicaid	TX

Other names 1

The Children's Assessment Center Doing business as

National Provider Directory

Locations

2500 Bolsover St
Houston, TX 77005
Phone (713) 986-3300

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1972543833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BOLSOVER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77005",
            "telephone_number": "713-986-3300",
            "fax_number": "713-986-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BOLSOVER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77005",
            "telephone_number": "713-986-3300",
            "fax_number": "713-986-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S ASSESSMENT CENTER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-986-3485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17862",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18746",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18911",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11940",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16863",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31259",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32425",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24946",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31778",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "26546",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "23018",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22477",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L7434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040686003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171048501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042323801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152197301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153993401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040542501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039998201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00U18M",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171045101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095737503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177683301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040247101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151734401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159606601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171047701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177067901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Assessment Center",
            "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 Oct 23, 2013; 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.