Individual provider Active NPI

Martha Lopez-Fowler, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1073090189
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76899 Issued in TX
Practice address
10 Oak CT
3209
Houston, TX 77006-1678
Phone
(281) 382-3807
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 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 76899 TX Primary

Addresses

Primary practice location

10 Oak CT
3209
Houston, TX 77006-1678

Mailing address

2514 Pease St
Houston, TX 77003-5240
Phone (713) 819-2660

Other practice location 1

10 Oak Ct
3209
Houston, TX 77006-1678
Phone (281) 382-3807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531000892 TX Practitioner - Mental Health Counselor 1850733171 Reassigns benefits to 1 organization
I20250915003197 CO Practitioner - Mental Health Counselor 1850733171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76899TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Counseling Services Professional CurrentSince Nov 24, 2019 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 24, 2024 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1073090189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 PEASE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035240",
            "telephone_number": "713-819-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK CT",
            "address_2": "3209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061678",
            "telephone_number": "281-382-3807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Oak Ct",
            "address_2": "3209",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770061678",
            "country_code": "US",
            "telephone_number": "281-382-3807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-FOWLER",
        "first_name": "MARTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.