Individual provider Active NPI

Suzan Jeanne Cotellesse, L.P.C., L.M.F.T.

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1073760500
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
469 Issued in TX
Practice address
4100 Westheimer Rd Ste 233
Houston, TX 77027-4439
Phone
(713) 621-0234
Fax
(713) 973-2812
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2022 TX
Mental Health Counselor 101YM0800X 3743 TX
Mental Health Counselor 101YM0800X 469 TX Primary

Addresses

Primary practice location

4100 Westheimer Rd Ste 233
Houston, TX 77027-4439

Mailing address

4100 Westheimer Rd Ste 233
Houston, TX 77027-4439
Phone (713) 621-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3743TXMDMental Health Counselor
469TXMDMental Health Counselor
2022TXMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1073760500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WESTHEIMER RD STE 233",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274439",
            "telephone_number": "713-621-0234",
            "fax_number": "713-973-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WESTHEIMER RD STE 233",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274439",
            "telephone_number": "713-621-0234",
            "fax_number": "713-973-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTELLESSE",
        "first_name": "SUZAN",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "2022",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "3743",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.