Organization Active NPI

Nova Vita Mental Wellness Center

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1013742634
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NOVA VITA MENTAL WELLNESS CENTER
Practice address
18220 Upper Bay Rd
Houston, TX 77058-4127
Phone
(361) 000-0000
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Nora Darjean
Title
Board Member
Phone
(361) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

18220 Upper Bay Rd
Houston, TX 77058-4127

Mailing address

18220 Upper Bay Rd
Houston, TX 77058-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001004940 TX Part B Supplier - Clinic/Group Practice 2769988302 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

18220 Upper Bay Rd
Houston, TX 77058
Phone (361) 442-4024

Practitioners & affiliated clinicians

Practitioners 5

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": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1013742634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18220 UPPER BAY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770584127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 UPPER BAY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770584127",
            "telephone_number": "361-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VITA MENTAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "DARJEAN",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "361-000-0000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.