Individual provider Active NPI

Vivian Olisa-Alexander, LPC

  • Professional Counselor
  • Pearland, TX
National Provider Identifier
1003628652
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
94791 Issued in TX
Practice address
11200 Broadway St Ste 2743
Pearland, TX 77584-9787
Phone
(281) 957-0623
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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 94791 TX Primary

Addresses

Primary practice location

11200 Broadway St Ste 2743
Pearland, TX 77584-9787

Mailing address

2007 Tide Rock LN
Pearland, TX 77584-1870
Phone (832) 691-7301

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
I20260112002774 TX Practitioner - Mental Health Counselor 9436635166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20351 Hwy 6
Suite B
Manvel, TX 77578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94791TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mys Counseling & Assessment PLLC Professional CurrentSince Dec 6, 2025 Accepting new patients

Locations

20351 Highway 6
Ste B
Manvel, TX 77578
Phone (281) 303-1198

Organizations & group practices 1

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1003628652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 TIDE ROCK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841870",
            "telephone_number": "832-691-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 BROADWAY ST STE 2743",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849787",
            "telephone_number": "281-957-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLISA-ALEXANDER",
        "first_name": "VIVIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "94791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.