Active NPI
Cynthia Bandemer, MA, MPH, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1013468073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71796
- Practice address
- 17300 El Camino Real Ste 107D
Houston, TX 77058 - Phone
- (281) 787-5558
- NPI assigned
- Oct 14, 2016
- 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 | 71796 | TX | Primary |
Addresses
Primary practice location
17300 El Camino Real Ste 107D
Houston, TX 77058
Mailing address
2323 Clear Lake City Blvd Ste 180-308
Houston, TX 77062-8120
Phone (281) 787-5558
Other practice location 1
1335 Regents Park Dr
240
Houston, TX 77058-2540
Phone (713) 222-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3650327-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71796 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear & Creative Counseling LLC | Professional | Current | Accepting new patients |
| Innovative Alternatives, Inc. | Past | Accepting new patients | |
| Innovative Alternatives, Inc. | Past | Accepting new patients |
Locations
17300 El Camino Real
Ste 107D
Houston, TX 77058
Phone (281) 787-5558
2323 Clear Lake City Blvd
Ste 180308
Houston, TX 77062
Organizations & group practices 3
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.
-
- Professional Counselor
- Houston, TX
- NPI 1144707175
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1053435701
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1629409834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1013468073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 CLEAR LAKE CITY BLVD STE 180-308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770628120",
"telephone_number": "281-787-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 EL CAMINO REAL STE 107D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77058",
"telephone_number": "281-787-5558"
}
],
"practiceLocations": [
{
"address_1": "1335 Regents Park Dr",
"address_2": "240",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770582540",
"country_code": "US",
"telephone_number": "713-222-2525",
"fax_number": "281-480-4815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANDEMER",
"first_name": "CYNTHIA",
"credential": "MA, MPH, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3650327-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.