Provider Demographics
| NPI: | 1164514295 |
|---|---|
| Name: | BHC- BEHAVIORAL HEALTH CONSULTANTS, INC |
| Entity Type: | Organization |
| Organization Name: | BHC- BEHAVIORAL HEALTH CONSULTANTS, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SECRETARY |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | AUGGIE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | OCAMPO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 713-463-9449 |
| Mailing Address - Street 1: | 9525 KATY FWY |
| Mailing Address - Street 2: | SUITE 312 |
| Mailing Address - City: | HOUSTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77024-1407 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 713-463-9449 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 9525 KATY FWY |
| Practice Address - Street 2: | SUITE 312 |
| Practice Address - City: | HOUSTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77024-1407 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 713-463-9449 |
| Practice Address - Fax: | 713-463-7181 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-09-28 |
| Last Update Date: | 2008-07-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry | Group - Multi-Specialty |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 364SP0809X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Adult | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 5196611 | Other | AETNA HEALTHCARE |
| TX | 175835101 | Medicaid | |
| TX | 003MR | Other | BLUE CROSS BLUE SHIELD |
| TX | 003MR | Other | BLUE CROSS BLUE SHIELD |
