NPIMap

Organization Active NPI

Legacy Recovery Health Center

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1972909646
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
36483655 Issued in TX
Legal business name
LEGACY RECOVERY HEALTH CENTER
Practice address
388 W Little York Rd
Houston, TX 77076-1303
Phone
(713) 636-2964
Fax
(713) 636-9686
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Keita D White
Title
Executive Director
Phone
(713) 636-2964

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 36483655 TX Primary
Case Management Agency 251B00000X 36483655 TX
Community/Behavioral Health Agency 251S00000X 36483655 TX
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 36483655 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X 368483655 TX
Multi-Specialty Clinic/Center 261QM1300X 36483655 TX
Rehabilitation Clinic/Center 261QR0400X 36483655 TX

Addresses

Primary practice location

388 W Little York Rd
Houston, TX 77076-1303

Mailing address

388 W Little York Rd
Houston, TX 77076-1303

National Provider Directory

National Provider Directory
Tax ID family
Legacy Recovery Health Center2 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.

Locations

388 W Little York Rd
Houston, TX 77076
Phone (346) 207-3170

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1972909646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761303",
            "telephone_number": "713-636-2964",
            "fax_number": "713-636-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RECOVERY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KEITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-636-2964"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "36483655",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "36483655",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "36483655",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "36483655",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "368483655",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "36483655",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "36483655",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 7, 2014; 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.