Individual provider Active NPI

Rheanisha Burrell, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1972928133
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56373 Issued in TX
Practice address
2002 Holcombe Blvd
Houston, TX 77030-4211
Phone
(832) 491-2146
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50082260 DC
Clinical Social Worker 1041C0700X 56373 TX Primary

Addresses

Primary practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Mailing address

PO Box 300777
Houston, TX 77230-0777

Other practice location 1

11811 North Fwy Ste 500
Houston, TX 77060-3287
Phone (832) 450-6858

Other practice location 2

15218 Stulan Burn Dr
Humble, TX 77346-4793
Phone (936) 443-4794

Other identifiers 1

IdentifierTypeStateIssuer
3802480MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, DE, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200827000170 TX Practitioner - Clinical Social Worker 0941627608 Reassigns benefits to 1 organization
I20221127000002 VA Practitioner - Clinical Social Worker 0941627608 Reassigns benefits to 1 organization
I20230228000048 DE Practitioner - Clinical Social Worker 0941627608 Reassigns benefits to 1 organization
I20230411000296 NC Practitioner - Clinical Social Worker 0941627608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth Univ School of Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

101 Southwestern Blvd
Suite 290
Sugar Land, TX 77478-3548
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50082260DCMDClinical Social Worker
56373TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Tidalhealth Nanticoke, Inc CurrentSince Feb 1, 2023 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Clinical CurrentSince Apr 17, 2023 Accepting new patients
CMH Physician Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Behavioral Health Specialists (de), P.a. Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

424 Church St
Ste 2000
Nashville, TN 37219
Phone (615) 496-8145

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (512) 862-7200

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1972928133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300777",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "832-491-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11811 North Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770603287",
            "country_code": "US",
            "telephone_number": "832-450-6858",
            "fax_number": "866-936-3713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15218 Stulan Burn Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773464793",
            "country_code": "US",
            "telephone_number": "936-443-4794",
            "fax_number": "866-936-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "RHEANISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082260",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3802480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.