Individual provider Active NPI

Judy Vo, M.ED, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1063987402
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4625 Lillian St
Houston, TX 77007-5544
Phone
(832) 779-3178
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78278 TX
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4625 Lillian St
Houston, TX 77007-5544

Mailing address

4614 Laureldale Rd
Houston, TX 77041-8504

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
I20240106000992 TX Practitioner - Mental Health Counselor 8022469725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service Center at Houston and Harris CountyGroup PAC ID 6608844808, 7 clinicians

Practice addresses (Care Compare)

411 Durham Dr
Houston, TX 77007-7240
Phone (713) 861-4849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78278TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Center at Houston and Harris County CurrentSince Jan 1, 2024 Accepting new patients

Locations

4950 Memorial Dr
Houston, TX 77007
Phone (713) 730-2335

411 Durham Dr
Houston, TX 77007
Phone (713) 861-4849

1300 Bay Area Blvd
#240A
Houston, TX 77058
Phone (713) 861-4849

4625 Lillian St
Houston, TX 77007
Phone (713) 861-4849

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1063987402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 LAURELDALE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770418504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LILLIAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075544",
            "telephone_number": "832-779-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "JUDY",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78278",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.