Organization Active NPI

Sugar Land Counseling Center, P.C.

  • Mental Health Counselor
  • Sugar Land, TX
National Provider Identifier
1033556535
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
31131 Issued in TX
Legal business name
SUGAR LAND COUNSELING CENTER, P.C.
Practice address
4665 Sweetwater Blvd
Suite 110
Sugar Land, TX 77479-3135
Phone
(832) 876-3232
NPI assigned
May 24, 2013
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Kiran MishraNPI 1720180631
Title
Psychologist
Phone
(832) 876-3232

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 31131 TX Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 31131 TX

Addresses

Primary practice location

4665 Sweetwater Blvd
Suite 110
Sugar Land, TX 77479-3135

Mailing address

4665 Sweetwater Blvd
Suite 110
Sugar Land, TX 77479-3135
Phone (832) 876-3232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502000600 TX Part B Supplier - Clinic/Group Practice 2365729241 Receives reassigned benefits from 4 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

4665 Sweetwater Blvd
Ste 110
Sugar Land, TX 77479
Phone (281) 980-0999

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1033556535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SWEETWATER BLVD",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793135",
            "telephone_number": "832-876-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SWEETWATER BLVD",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793135",
            "telephone_number": "832-876-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "832-876-3232"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "31131",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.