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Texas IOP and PHP opening checklistCredentialing documents checklistIntake packet checklistStaff credential file checklistBehavioral health business glossaryIOP and PHP schedule templatesThe IOP group curriculumUtilization review for IOP and PHPThe IOP admissions processDischarge planning for IOP and PHPBuilding an IOP family programAdding MAT to an IOPNaloxone policy for treatment programsCLIA waiver for drug testing in TexasDrug testing policy for treatment programsLab relationships and EKRAPsychiatric services in an IOP or PHPMedicare coverage of IOP and PHPHow to start a sober living homeTROHN certification in TexasSober living house rules and resident agreementsWhat it costs to start a sober living homeSober living drug testing policyThe sober living house managerHow much it costs to start an IOPHow much it costs to open a rehab centerThe IOP business plan lenders believeIOP break-even calculator (free tool)The practice readiness review (free tool)Credentialing cost calculator (free tool)NPI lookup (free tool)Joint Commission vs. CARF for an IOP or PHPCARF accreditation: process and requirementsWhat accreditation costs and how long it takesAccreditation for a new treatment programThe accreditation gap assessmentHow to run a mock accreditation surveyHow to open a rehab centerHow to start an IOP or outpatient rehabHow to start a partial hospitalization programIOP vs. PHP vs. outpatientHow to get credentialed with insuranceThe CAQH ProView guideCAQH vs PECOSNPI Type 1 vs Type 2How to get an NPI numberHow long credentialing takesCredentialing with Blue Cross and Blue Shield of TexasCredentialing with Aetna for behavioral health in TexasCredentialing with Cigna (Evernorth Behavioral Health)VA Community Care Network credentialing in TexasCredentialing with Humana (Medicare Advantage) in TexasCredentialing with Magellan and Carelon Behavioral HealthCredentialing with UnitedHealthcare (Optum Behavioral Health)Credentialing with Superior HealthPlanCredentialing with Wellpoint Texas (formerly Amerigroup)Credentialing with Molina Healthcare of TexasCredentialing with Community Health ChoiceBaylor Scott & White Health Plan credentialing (2026 changes)Credentialing with Texas Children's Health PlanCredentialing with Driscoll Health PlanCredentialing with El Paso HealthCredentialing with Parkland Community Health PlanTexas Medicaid health plans by service areaIOP and PHP credentialing in TexasTexas Medicaid for IOP and PHP programsLPC credentialing in TexasLCSW credentialing in TexasLMFT credentialing in TexasPsychologist credentialing in TexasLCDC credentialing in TexasPsychiatric NP credentialing in TexasHow to start an LPC private practice in TexasHow to start an LCSW private practice in TexasHow to start an LMFT private practice in TexasStarting a psychology private practice in TexasHow to run a cash-pay therapy practiceRunning a telehealth private practice in TexasMoving a licensed treatment programAdding PHP or IOP to your programBuying or selling a treatment centerClosing or pausing a treatment programIOP staffing requirements in TexasSupervising associates and interns in TexasThe medical director for an IOP or PHPHow to get insurance contracts for an IOP or PHPWhen the insurance network is closedSingle case agreements for programsNegotiating insurance ratesPatient brokering laws, explainedLegitScript certification for addiction treatmentHow to market a treatment center legallyWorking with TPAPN, TXPHP, PRN and TLAPServing court-ordered clients in TexasHow to get a Texas CDTF licenseLicensing a mental health IOP or PHP in Texas26 TAC 564 in plain EnglishMedicare enrollment for LPCs and LMFTsTexas Medicaid credentialing: TMHP and the MCOsTRICARE credentialing in TexasTRICARE IOP and PHP certificationCHAMPVA for providers: no network to joinHow to start a group practice in TexasStark law and group practicesCan an LCDC open a private practice in Texas?How to become an LCDC in TexasHow to become an LPC in TexasHow to open a psychiatric NP practice in TexasHow to start an IOP in FloridaOpening a program or practice in Texas, by cityHow to start an IOP or PHP in HoustonHow to start an IOP or PHP in DallasHow to start an IOP or PHP in Fort WorthHow to start an IOP or PHP in AustinHow to start an IOP or PHP in San AntonioHow to start an IOP or PHP in El PasoHow to start an IOP or PHP in AmarilloHow to start an IOP or PHP in Midland–OdessaHow to start an IOP or PHP in LaredoHow to start an IOP or PHP in Killeen–TempleHow to start an IOP or PHP in Plano, Frisco and Collin CountyHow to start an IOP or PHP in The Woodlands or ConroeHow to start an IOP or PHP in Corpus ChristiHow to start an IOP or PHP in the Rio Grande ValleyHow to start an IOP or PHP in LubbockHow to start an IOP or PHP in WacoHow to start an IOP or PHP in Beaumont–Port ArthurHow to start an IOP or PHP in TylerHow to start an IOP or PHP in AbileneHow to start an IOP or PHP in Wichita FallsHow to start an IOP or PHP in Bryan–College StationHow to start an IOP or PHP in VictoriaHow to start an IOP in ArizonaHow to start an IOP in LouisianaHow to start an IOP in NevadaHow to start an IOP in UtahHow to start an IOP in CaliforniaHow to start an IOP in OklahomaHow to start an IOP in OhioHow to start an IOP in PennsylvaniaHow to start an IOP in New JerseyHow to start an IOP in MassachusettsHow to start an IOP in New MexicoHow to start an IOP in GeorgiaHow to start an IOP in TennesseeHow to start an IOP in North CarolinaHow to start an IOP in ColoradoHow to start an IOP in New YorkHow to start an IOP in IllinoisHow to start an IOP in MichiganHow to start an IOP in WashingtonHow to start an IOP in VirginiaHow to start an IOP in KentuckyHow to start an IOP in DelawareHow to start an IOP in West VirginiaHow to start an IOP in MissouriHow to start an IOP in IndianaHow to start an IOP in WisconsinHow to start an IOP in MinnesotaHow to start an IOP in MarylandHow to start an IOP in South CarolinaHow to start an IOP in AlabamaHow to start an IOP in OregonHow to start an IOP in ConnecticutHow to start an IOP in IowaHow to start an IOP in KansasHow to start an IOP in ArkansasHow to start an IOP in IdahoHow to start an IOP in MississippiHow to start an IOP or PHP in TexasHow to start a private practice in TexasHow to open a sober living home in TexasHow to start a detox center in TexasHow to start a residential treatment center in TexasHow to open a mental health clinic in TexasHow to start an opioid treatment program in TexasHow to run a virtual IOP in TexasAdolescent IOP in TexasRunning a dual diagnosis program in TexasStarting a women's or pregnant and postpartum program in TexasHow to start an eating disorder IOP or PHP in TexasSpecialty IOP and PHP programs in TexasWhat a behavioral health consultant costsAll free guides

Free tool from Cima Consulting

NPI lookup: search the NPI registry by name or number

Type an NPI, a person's name or an organization's name, pick a state if you know it, and see what CMS's NPI Registry lists: the provider's name and credential, NPI, Type 1 or Type 2, primary taxonomy, practice address and phone, and the dates the NPI was issued and last updated. Every result links to its official NPPES record. It's free, there's nothing to sign up for, and we don't save what you search.

Updated October 28, 2026. The results come straight from CMS's NPPES NPI Registry API at the moment you search.

The lookup needs JavaScript. Without it, search CMS's own NPI Registry.

Data comes from CMS's NPPES NPI Registry API, which CMS refreshes daily. We don't save what you search. Each result links to its official NPPES record.

What the NPI Registry shows

The NPI Registry is the public search of NPPES, the National Plan and Provider Enumeration System, where providers apply for and update their National Provider Identifier. CMS publishes these fields under the Freedom of Information Act, updates the registry daily, and charges nothing to look (CMS, NPPES data dissemination). This tool shows the fields people look up most:

FieldWhat it means
Name and credentialA person's name and the credential they typed (LPC, LCSW, MD), or an organization's legal business name. The credential is the text the provider entered; it isn't a license check.
NPIThe 10-digit number. The tenth digit is a check digit, and the number says nothing about the provider (45 CFR 162.406), so a mistyped NPI usually fails before it's looked up.
TypeType 1 is an individual; Type 2 is an organization, such as a PLLC, group or program. Which you need is in NPI Type 1 vs Type 2.
Primary taxonomyThe provider type the provider marked as primary, from the NUCC code set: 101YP2500X is Counselor, Professional, for example.
Practice location and phoneThe practice location address and phone the provider entered. A state or city in your search matches this address, not the mailing address.
Enumerated and last updatedThe day the NPI was issued and the day the record last changed. A last-updated date years old next to a recent move is a record that needs fixing.

What an NPI lookup can't tell you

  • Whether the license is valid. A taxonomy code isn't a license and doesn't prove one. Check the license with the state board that issued it: Texas counselors, social workers and marriage and family therapists on the Behavioral Health Executive Council's license search, LCDCs on HHSC's (see LCDC license search).
  • Whether the provider is in network or enrolled with Medicare or Medicaid. Those are separate enrollments with each plan. Changing an NPPES record doesn't change a Medicare enrollment, and a new NPI isn't in any network until the plan credentials it; how to get credentialed with insurance walks through that part.
  • Whether every provider has an NPI. HIPAA requires one of every health care provider that sends standard electronic transactions, such as claims; others may get one if they apply (45 CFR 162.410). A cash-only provider may not have one.

Search tips

  • Start narrow, then widen. A last name and state is usually enough for a person. No match? Drop the city, then the state, or add a * after the first letters (the registry needs at least two letters before it).
  • Organizations go by their legal name, the one on the IRS letter. A clinic's sign out front may say something else.
  • Twenty results at a time, up to 200. Too many? Add a first name or a city.
  • The registry lists active NPIs. A provider who retired or a company that closed may not appear at all.

Find your own NPI number

Search your own name above, or log in to NPPES with your Identity & Access (I&A) account to see your record. Lost the login, or can't find yourself? The NPI Enumerator handles lost NPIs, locked accounts and application status at 1-800-465-3203 (TTY 1-800-692-2326) (CMS, how to apply). Don't have an NPI yet? How to get an NPI number walks through the NPPES application, and NPI Type 1 vs Type 2 says which kind you need.

If your record is wrong

Fix it in NPPES yourself. Federal rules require a provider to report changes to its NPPES information within 30 days (45 CFR 162.410(a)(4)), and there's no way to hide an active NPI's public record (NPPES privacy information). Plans compare what they credentialed you with against what's in the registry and on your CAQH profile, so a stale address or the wrong primary taxonomy shows up as denied claims and returned mail. After you update NPPES, tell your plans and Medicare too.

Have the NPI, need the insurance?

We file each clinician with each plan for $275 per plan, flat, and follow up until there's an effective date. Starting from scratch? The solo launch packages include your NPIs, CAQH and your first plans.

See credentialing

Pricing a whole practice? Try the credentialing cost calculator, or book a free 30-minute call.

Questions

How do I look up an NPI number?

Type the 10-digit NPI above, or switch to a person's or organization's name and pick a state. The results come from CMS's NPI Registry, the official public search of NPPES, and each one links to its record there.

How do I do an NPI lookup by name?

Choose "Person's name", type the last name (and the first name if you know it) and pick the state where they practice. For an organization, choose "Organization" and type its legal business name. Add a * after at least two letters if you're not sure of the spelling.

How do I find my NPI number?

Search your own name and state above, or log in to NPPES with your I&A account. If you can't get in or can't find your NPI, call the NPI Enumerator at 1-800-465-3203.

Is NPI lookup free?

Yes. CMS charges nothing to search the NPI Registry, and this tool is free too, with no sign-up.

What's the difference between NPPES and the NPI Registry?

NPPES is the CMS system where providers apply for an NPI and keep their information current. The NPI Registry is the public search of that information, updated daily.

Why can't I find a provider in the NPI Registry?

The name may be spelled or ordered differently, the state you picked may be their mailing state rather than their practice location, the NPI may no longer be active, or the provider may not have one: only providers who send standard electronic transactions such as claims are required to.

How do I verify an NPI?

Check that the number is in the registry, is active and belongs to the person or organization you expect, at the address you expect. Then verify the license separately with the state board, because the registry's credential and taxonomy are what the provider typed, not a license check.

What is the NPPES phone number?

The NPI Enumerator, which answers NPPES questions for CMS, is at 1-800-465-3203, TTY 1-800-692-2326. Medicare enrollment questions go to your Medicare contractor instead.

Can a provider remove their information from the NPI Registry?

No. CMS says there's no way to opt out of or suppress the public record of an active NPI. What a provider can do is keep it accurate in NPPES.

Sources

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