NPIMap

Organization Active NPI

Michael Douglas Soderstrom

  • Counselor
  • Houston, TX
National Provider Identifier
1013128974
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
17891 Issued in TX
Legal business name
MICHAEL DOUGLAS SODERSTROM
Practice address
2100 Bering Dr Apt 809
Houston, TX 77057-3745
Phone
(832) 971-0025
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Michael Douglas Soderstrom, LPCNPI 1740491687
Title
Owner
Phone
(832) 971-0025

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 17891 TX Primary

Addresses

Primary practice location

2100 Bering Dr Apt 809
Houston, TX 77057-3745

Mailing address

2100 Bering Dr Apt 809
Houston, TX 77057-3745
Phone (832) 971-0025

Other names 1

  • Pinnacle Pain Management Solutions Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1013128974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BERING DR APT 809",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573745",
            "telephone_number": "832-971-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BERING DR APT 809",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573745",
            "telephone_number": "832-971-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DOUGLAS SODERSTROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SODERSTROM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-971-0025",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "17891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Pain Management Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.