Individual provider Active NPI

Alice Edwards, LCPPT,LCDC,LMFT,LPCA

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1013559988
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10292 Issued in TX
Practice address
2100 West Loop S Ste 800
Houston, TX 77027-3522
Phone
(979) 248-5649
NPI assigned
Oct 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X AE719444D MS
Professional Counselor 101YP2500X 59891 TX
Counseling Psychologist 103TC1900X
Marriage & Family Therapist 106H00000X AE719444D TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 10292 TX Primary

Addresses

Primary practice location

2100 West Loop S Ste 800
Houston, TX 77027-3522

Mailing address

2100 West Loop S Ste 900
Houston, TX 77027-3522
Phone (979) 248-5649

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.hoperecoveryservices.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AE719444DMSMDPastoral Counselor
AE719444DTXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1013559988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273522",
            "telephone_number": "979-248-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273522",
            "telephone_number": "979-248-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "LCPPT,LCDC,LMFT,LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MS",
            "license": "AE719444D",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59891",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "AE719444D",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.hoperecoveryservices.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100 West Loop S Ste 900",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770273522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.