PATRICIA J PRATHER LCSW
NPI 1891072211
Social Worker - Clinical in Houston, TX

Active since November 14, 2011PECOS EnrolledAccepts Medicare Assignment
4314 YOAKUM BLVD, HOUSTON, TX 77006(713) 850-0049(713) 627-7302 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia J Prather Lcsw NPPES

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

PATRICIA J PRATHER LCSW (NPI 1891072211) is an individual clinical provider in Houston, Texas, licensed in Texas (42370) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1891072211
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICIA J PRATHERCredential: LCSW
Location Address4314 YOAKUM BLVDHouston, TX 77006-5818
Mailing Address4314 Yoakum BlvdHouston, TX 77006-5818 · (713) 850-0049 · Fax (713) 627-7302
Fax(713) 627-7302
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 14, 2011
✔ NPI 1891072211 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 · 42370
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.
4314 YOAKUM BLVD, Houston, TX 77006

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia J Prather Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446426571
PECOS Enrollment IDI20111220000563
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 Reassignments

2

Medicare enrollment records show Patricia Prather reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
7272 WURZBACH RD, SUITE 706
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 296 clinicians in this Medicare group
Mental Health
1127 MAIN ST STE 100
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 4 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
110 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77006 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.

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.

Psychiatry & Neurology (Psychiatry)
4314 YOAKUM BLVD
HOUSTON, TX 77006
Counselor (Professional)
4314 YOAKUM BLVD
HOUSTON, TX 77006
Social Worker (Clinical)
4314 YOAKUM BLVD
HOUSTON, TX 77006
Counselor (Professional)
4314 YOAKUM BLVD
HOUSTON, TX 77006
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4314 YOAKUM BLVD
HOUSTON, TX 77006
Psychologist (Clinical)
4314 YOAKUM BLVD
HOUSTON, TX 77006
Licensed Practical Nurse
4314 YOAKUM BLVD
HOUSTON, TX 77006
Nurse Practitioner (Psychiatric/Mental Health)
4314 YOAKUM BLVD
HOUSTON, TX 77006

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 Patricia Prather's NPI number?

The NPI number for Patricia Prather is 1891072211. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is Patricia Prather located?

Patricia Prather practices at 4314 Yoakum Blvd, Houston, TX 77006. The listed phone number is (713) 850-0049.

What is Patricia Prather's specialty?

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

Is Patricia Prather enrolled in Medicare?

Yes. Patricia Prather is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Patricia Prather's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Prather reassigns Medicare benefits to 2 organizations: Deer Oaks Geriatric Services P C (San Antonio, TX) and Hill Country Christian Counseling Center, Inc. (Kerrville, TX). Each 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 Patricia Prather's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Prather accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Patricia Prather 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 Patricia Prather was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.