Individual provider Active NPI

Ekow Kwakye, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1083198337
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77066 Issued in TX
Practice address
16727 FM 529 Rd
Houston, TX 77095-1311
Phone
(832) 739-9720
NPI assigned
Sep 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77066 TX
Professional Counselor 101YP2500X 77066 TX Primary

Addresses

Primary practice location

16727 FM 529 Rd
Houston, TX 77095-1311

Mailing address

18815 Primrose Edge CT
Cypress, TX 77429-1114
Phone (832) 739-9720

Other identifiers 1

IdentifierTypeStateIssuer
390342901MedicaidTX

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
77066TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Mental Health Counselor CurrentSince Nov 1, 2020 Accepting new patients

Locations

16727 FM 529 Rd
Houston, TX 77095
Phone (832) 739-9720

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": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1083198337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18815 PRIMROSE EDGE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291114",
            "telephone_number": "832-739-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16727 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951311",
            "telephone_number": "832-739-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKYE",
        "first_name": "EKOW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-22",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77066",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390342901",
            "state": "TX"
        }
    ],
    "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 Oct 30, 2020; 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.