Active NPI
Xavier Kennedy Simon, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1093595126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93146
- Practice address
- 9111 Willow Meadow Dr
Houston, TX 77031-1121 - Phone
- (713) 471-5116
- NPI assigned
- Oct 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 93146 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 93146 | TX |
Addresses
Primary practice location
9111 Willow Meadow Dr
Houston, TX 77031-1121
Mailing address
9111 Willow Meadow Dr
Houston, TX 77031-1121
Phone (713) 471-5116
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texana Center | Mental Health | Current | Accepting new patients |
Locations
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
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": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1093595126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 WILLOW MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770311121",
"telephone_number": "713-471-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 WILLOW MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770311121",
"telephone_number": "713-471-5116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "XAVIER",
"middle_name": "KENNEDY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-05",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93146",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "93146",
"primary": false
}
],
"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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.