Individual provider Active NPI

Dana Hatter

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1023531365
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77890 Issued in TX
Practice address
4411 Dacoma St
Houston, TX 77092-8611
Phone
(713) 686-9194
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77890 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 77890 TX
Mental Health Counselor 101YM0800X 77890 TX
Professional Counselor 101YP2500X 77890 TX Primary

Addresses

Primary practice location

4411 Dacoma St
Houston, TX 77092-8611

Mailing address

2603 W Bainbridge Cir
Pearland, TX 77584-5908
Phone (314) 374-1543

Other practice location 1

829 Chief Eddie Hoffman Hwy
Suite 150
Bethel, AK 99559
Phone (907) 543-6100

Other practice location 2

2603 W Bainbridge Cir
Pearland, TX 77584-5908
Phone (314) 374-1543

Other identifiers 2

IdentifierTypeStateIssuer
1023531365MedicaidTX
1020986MedicaidAK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411002251 TX Practitioner - Mental Health Counselor 8123467032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77890TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deblin Health Concepts & Associates, LLC Mental Health CurrentSince Mar 3, 2024 Accepting new patients
Faydon LLC Professional CurrentSince Jul 5, 2020 Accepting new patients

Locations

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

4131 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 342-8689

221 N Kansas St
Ste 700
El Paso, TX 79901
Phone (817) 242-3733

1214 N Post Oak Rd
Ste 100
Houston, TX 77055
Phone (713) 681-9100

4411 Dacoma St
Houston, TX 77092
Phone (281) 674-7145

Organizations & group practices 2

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1023531365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W BAINBRIDGE CIR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845908",
            "telephone_number": "314-374-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 DACOMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928611",
            "telephone_number": "713-686-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Chief Eddie Hoffman Hwy",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "99559",
            "country_code": "US",
            "telephone_number": "907-543-6100",
            "fax_number": "907-543-6159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 W Bainbridge Cir",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775845908",
            "country_code": "US",
            "telephone_number": "314-374-1543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTER",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77890",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "77890",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77890",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023531365",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.