Individual provider Active NPI

Avonda Johnson, PHD

  • Professional Counselor
  • The Woodlands, TX
National Provider Identifier
1093105330
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2001 Timberloch PL Ste 500
The Woodlands, TX 77380-1375
Phone
(281) 235-7276
Fax
(877) 215-0518
NPI assigned
Jan 26, 2015
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2001 Timberloch PL Ste 500
The Woodlands, TX 77380-1375

Mailing address

11811 North Fwy Ste 500
Houston, TX 77060-3287
Phone (832) 273-4304

Other practice location 1

11811 North Fwy Ste 500
Houston, TX 77060-3287
Phone (832) 273-4304

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Parakaleo Counseling Services PLLC Current Accepting new patients

Locations

2001 Timberloch Pl
Ste 500
The Woodlands, TX 77380
Phone (281) 451-7814

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1093105330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 NORTH FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603287",
            "telephone_number": "832-273-4304",
            "fax_number": "877-215-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 TIMBERLOCH PL STE 500",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801375",
            "telephone_number": "281-235-7276",
            "fax_number": "877-215-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11811 North Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770603287",
            "country_code": "US",
            "telephone_number": "832-273-4304",
            "fax_number": "877-215-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AVONDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.