NPIMap

Organization Active NPI

Stone Creek Psychotherapy and Wellness Center

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1003009978
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
06714 Issued in TX
Legal business name
STONE CREEK PSYCHOTHERAPY AND WELLNESS CENTER
Practice address
20915 Kingsland Blvd
Katy, TX 77450-5548
Phone
(281) 579-0703
Fax
(281) 398-9719
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Dianne Wilson Appolito, LCSWNPI 1972633295
Title
Director/Owner
Phone
(281) 579-0703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 06714 TX Primary

Addresses

Primary practice location

20915 Kingsland Blvd
Katy, TX 77450-5548

Mailing address

20915 Kingsland Blvd
Katy, TX 77450-5548
Phone (281) 579-0703

Other names 1

  • Stone Creek Psychotherapy Other name

Electronic endpoints 6

TypeEndpointUseAffiliation
CONNECT URL Katy Health Information Exchange (HIE)
CONNECT URL Katy Health Information Exchange (HIE)
CONNECT URL Katy Direct
CONNECT URL Katy Health Information Exchange (HIE)
CONNECT URL Katy Health Information Exchange (HIE)
CONNECT URL Katy Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910000508 TX Part B Supplier - Clinic/Group Practice 7012313414 Receives reassigned benefits from 4 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory
Tax ID family
Stone Creek Psychotherapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20915 Kingsland Blvd
Katy, TX 77450
Phone (281) 579-0703

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1003009978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20915 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-0703",
            "fax_number": "281-398-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20915 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-0703",
            "fax_number": "281-398-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK PSYCHOTHERAPY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "APPOLITO",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "281-579-0703",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "06714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20915 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774505548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20915 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774505548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20915 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774505548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20915 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774505548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20915 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774505548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "endpointDescription": "mental health texas",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20915 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774505548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stone Creek Psychotherapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.