Steadfast Health & Wellness PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STEADFAST HEALTH & WELLNESS PLLC

Practice address

1219 Dallas St
Port Neches, TX 77651-2908

Phone

(409) 234-5777

Fax

(877) 250-4835

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Michael Roberts, M.ED., NCC, LPCNPI 1003386988

Title

Owner

Phone

(409) 790-8318

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Brandon Michael Roberts, M.ED., NCC, LPC

  • Professional Counselor
  • Port Neches, TX
  • NPI 1003386988
  NPD Authorized official
• Amanda Chism, LPC

  • Professional Counselor
  • Port Neches, TX
  • NPI 1457086001
  NPD
• Tamara S. Long, LCSW

  • Clinical Social Worker
  • Port Neches, TX
  • NPI 1194486258
  NPD
• Sean Martin, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1649727652
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1003588856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 DALLAS ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776512908",
            "telephone_number": "409-234-5777",
            "fax_number": "877-250-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 DALLAS ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776512908",
            "telephone_number": "409-234-5777",
            "fax_number": "877-250-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-790-8318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3911679",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Samuel Robert Stafford, PHARM.D.
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• Belinda Starr Thurber, M.A.
• Misty F Thurman
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• Deborah Darlene Vanover, FNP-C

• Professional Counselor in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.