Providential Counseling and Consulting Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64015 Issued in TX

Legal business name

PROVIDENTIAL COUNSELING AND CONSULTING SERVICES, PLLC

Practice address

2656 S Loop W Ste 305
Houston, TX 77054-2674

Phone

(832) 767-0760

Fax

(832) 767-0763

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richelle WhittakerNPI 1902136815

Title

LPC/Owner

Phone

(832) 767-0760

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Richelle Whittaker I, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1902136815
  NPD (past) Authorized official

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1043529407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 WINDY DAWN DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848216",
            "telephone_number": "713-436-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542674",
            "telephone_number": "832-767-0760",
            "fax_number": "832-767-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENTIAL COUNSELING AND CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "832-767-0760"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210447301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence RX Pharmacy LLC
• Providence Total Care LLC
• Providence Total Care LLC
• Providence Wellness Inc (Providence Medical & Mental Health Clinic)
• Providence Wound Care LLC
• Providential Healthcare Services Inc
• Provider Outsourcing Solutions LLC
• Providers of Texas LLC
• Providian EMS (Providian EMS Inc)
• Provision Imaging of East Houston

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.