Organization Active NPI

Attachment & Trauma Center of Houston, PLLC

  • Professional Counselor
  • Sugar Land, TX
National Provider Identifier
1043731185
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ATTACHMENT & TRAUMA CENTER OF HOUSTON, PLLC
Practice address
101 Southwestern Blvd Ste 105
Sugar Land, TX 77478-3767
Phone
(281) 504-8004
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Authorized official

Name
Teresa Brown, LPCNPI 1861867871
Title
Clinical Director
Phone
(281) 504-8004

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

101 Southwestern Blvd Ste 105
Sugar Land, TX 77478-3767

Mailing address

9110 Royal Crest LN
Richmond, TX 77469-9826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121004135 TX Part B Supplier - Clinic/Group Practice 2668907072 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

101 Southwestern Blvd
Ste 105
Sugar Land, TX 77478
Phone (281) 504-8004

Practitioners & affiliated clinicians

Practitioners 2

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": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1043731185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 ROYAL CREST LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774699826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783767",
            "telephone_number": "281-504-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTACHMENT & TRAUMA CENTER OF HOUSTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "281-504-8004",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 28, 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.