Individual provider Active NPI

Susan Lynne Pocasangre, LPC, LSOTP

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1104077957
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17855 Issued in TX
Practice address
9100 Southwest Fwy
Suite 152
Houston, TX 77074-1519
Phone
(281) 705-8049
Fax
(713) 776-9759
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 99063 TX
Professional Counselor 101YP2500X 17855 TX Primary

Addresses

Primary practice location

9100 Southwest Fwy
Suite 152
Houston, TX 77074-1519

Mailing address

2910 Commercial Center Blvd
Suite 103-206
Katy, TX 77494-6583
Phone (281) 705-8049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 5, 2024 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99063TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1104077957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 COMMERCIAL CENTER BLVD",
            "address_2": "SUITE 103-206",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946583",
            "telephone_number": "281-705-8049",
            "fax_number": "713-776-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY",
            "address_2": "SUITE 152",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741519",
            "telephone_number": "281-705-8049",
            "fax_number": "713-776-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCASANGRE",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LPC, LSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "99063",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.