Individual provider Active NPI

Rubina Pina, LPC, MED

  • Professional Counselor
  • Shenandoah, TX
National Provider Identifier
1053027938
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90433 Issued in TX
Practice address
128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018
Phone
(832) 346-8082
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90433 TX Primary

Addresses

Primary practice location

128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018

Mailing address

PO Box 543
Goodrich, TX 77335-0543
Phone (832) 318-7431

Other practice location 1

504 Turner St
Conroe, TX 77301-2609
Phone (832) 318-7431

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
I20240926002077 TX Practitioner - Mental Health Counselor 3274074547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Mental Health PLLCGroup PAC ID 5092172668, 8 clinicians

Practice addresses (Care Compare)

128 Vision Park Blvd
Suite 230
Shenandoah, TX 77384-3018
Phone (832) 346-8082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Mental Health PLLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

128 Vision Park Blvd
Ste 230
Shenandoah, TX 77384
Phone (832) 346-8082

Organizations & group practices 1

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1053027938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "GOODRICH",
            "state": "TX",
            "postal_code": "773350543",
            "telephone_number": "832-318-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 230",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843018",
            "telephone_number": "832-346-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Turner St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773012609",
            "country_code": "US",
            "telephone_number": "832-318-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINA",
        "first_name": "RUBINA",
        "name_prefix": "Miss",
        "credential": "LPC, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.