Organization Active NPI

Pour Into You Mental Health & Wellness PLLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1023760865
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
POUR INTO YOU MENTAL HEALTH & WELLNESS PLLC
Practice address
22203 Imperious Pkwy
Houston, TX 77073-1389
Phone
(510) 692-0990
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Kenisha Capron, LPC, LMFTNPI 1063905693
Title
Ceo
Phone
(510) 692-0990

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

22203 Imperious Pkwy
Houston, TX 77073-1389

Mailing address

22203 Imperious Pkwy
Houston, TX 77073-1389
Phone (510) 692-0990

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": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1023760865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22203 IMPERIOUS PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731389",
            "telephone_number": "510-692-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22203 IMPERIOUS PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731389",
            "telephone_number": "510-692-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUR INTO YOU MENTAL HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "CAPRON",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-692-0990",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 16, 2024; 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.