CARLOS EDWIN BARRERA LCSW
NPI 1336680446
Social Worker - Clinical in Houston, TX

Active since March 09, 2017PECOS Enrolled
85.72/100
CMS Quality Rating
9401 SOUTHWEST FWY, HOUSTON, TX 77074(713) 970-7000(713) 970-7246 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Edwin Barrera Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS EDWIN BARRERA LCSW (NPI 1336680446) is an individual clinical provider in Houston, Texas, licensed in Texas (55560) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336680446
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCARLOS EDWIN BARRERACredential: LCSW
Location Address9401 SOUTHWEST FWYHouston, TX 77074-1407
Mailing Address9401 Southwest FwyHouston, TX 77074-1407 · (713) 970-7000 · Fax (713) 970-7246
Fax(713) 970-7246
Sole ProprietorNo
Enumeration DateMarch 9, 2017
✔ NPI 1336680446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 55560
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9401 SOUTHWEST FWY, Houston, TX 77074

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Edwin Barrera Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Barrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
9401 SOUTHWEST FWY
Houston, TX 77074
  • Reassigned Medicare billing, Texas enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.24 – $176.98
Typical copayment $0.00 (range $14.56 – $44.24)
Most-billed visit code NA
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.73
Improvement Activities40
Cost87.58

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Social Worker (Clinical)
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Counselor (Professional)
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Psychiatry & Neurology (Child & Adolescent Psychiatry)
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Psychiatry & Neurology (Psychiatry)
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Counselor (Professional)
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Counselor (Addiction (Substance Use Disorder))
9401 SOUTHWEST FWY
HOUSTON, TX 77074
Occupational Therapist
9401 SOUTHWEST FWY
HOUSTON, TX 77074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Barrera's NPI number?

The NPI number for Carlos Barrera is 1336680446. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Where is Carlos Barrera located?

Carlos Barrera practices at 9401 Southwest Fwy, Houston, TX 77074. The listed phone number is (713) 970-7000.

What is Carlos Barrera's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carlos Barrera enrolled in Medicare?

Yes. Carlos Barrera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Barrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Barrera reassigns Medicare benefits to The Harris Center For Mental Health And Idd (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Barrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Barrera accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Texas list Carlos Barrera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Barrera was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.