Active NPI
Vivian Olisa-Alexander, LPC
- Professional Counselor
- Pearland, TX
National Provider Identifier
1003628652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94791 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mys Counseling & Assessment PLLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.