Individual provider Active NPI

Nakeisha Quian Washington, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1003156597
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67425 Issued in TX
Practice address
5315B Cypress Creek Pkwy Ste 366
Houston, TX 77069-4403
Phone
(832) 850-6422
Fax
(832) 850-7852
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67425 TX Primary

Addresses

Primary practice location

5315B Cypress Creek Pkwy Ste 366
Houston, TX 77069-4403

Mailing address

5315B Cypress Creek Pkwy Ste 366
Houston, TX 77069-4403
Phone (832) 850-6422

Other identifiers 2

IdentifierTypeStateIssuer
316975602MedicaidTX
316975601MedicaidTX

Other names 1

  • Nakeisha M.a., LPC Quian Washington Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.fympcs.com Health Information Exchange (HIE) FREE YOUR MIND PROFESSIONAL COUNSELING SERVICES,PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326003886 TX Practitioner - Mental Health Counselor 6507341666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Free Your Mind Professional Counseling Services,PLLC Professional Current Accepting new patients
Within These Walls Professional Counseling Center PLLC Professional CurrentSince May 26, 2024 Accepting new patients

Locations

5315B Cypress Creek Pkwy
Houston, TX 77069
Phone (832) 850-6422

Networks

  • TX HMO
  • TX HMO D-SNP
  • NM HMO C-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1003156597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315B CYPRESS CREEK PKWY STE 366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694403",
            "telephone_number": "832-850-6422",
            "fax_number": "832-850-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315B CYPRESS CREEK PKWY STE 366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694403",
            "telephone_number": "832-850-6422",
            "fax_number": "832-850-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "NAKEISHA",
        "middle_name": "QUIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316975602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316975601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.fympcs.com",
            "affiliation": "Y",
            "endpointDescription": "lpcsnakeishaq1980@fympcs.com",
            "affiliationName": "FREE YOUR MIND PROFESSIONAL COUNSELING SERVICES,PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5315B Cypress Creek Pkwy Ste 366",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770694403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NAKEISHA M.A., LPC",
            "last_name": "WASHINGTON",
            "middle_name": "QUIAN",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.