Active NPI
Marvin Edson Hughes III
- Professional Counselor
- Houston, TX
National Provider Identifier
1104590322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10877
- Practice address
- 3121 Buffalo Speedway
Houston, TX 77098-1971 - Phone
- (713) 208-8837
- NPI assigned
- Aug 2, 2021
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 10877 | TX | |
| Professional Counselor | 101YP2500X | 10877 | TX | Primary |
Addresses
Primary practice location
3121 Buffalo Speedway
Houston, TX 77098-1971
Mailing address
3121 Buffalo Speedway Apt 6204
Houston, TX 77098-1854
Phone (713) 208-8837
Other practice location 1
2000 Crawford St Ste 1650
Houston, TX 77002-1072
Phone (832) 387-4368
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10877 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innerlight Community Advocates PLLC | Professional | Current | Accepting new patients |
Locations
2000 Crawford St
Ste 869
Houston, TX 77002
Phone (832) 387-4368
2000 Crawford St
Ste 1650
Houston, TX 77002
Phone (832) 387-4368
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": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1104590322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 BUFFALO SPEEDWAY APT 6204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770981854",
"telephone_number": "713-208-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 BUFFALO SPEEDWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770981971",
"telephone_number": "713-208-8837"
}
],
"practiceLocations": [
{
"address_1": "2000 Crawford St Ste 1650",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770021072",
"country_code": "US",
"telephone_number": "832-387-4368",
"fax_number": "713-347-0899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "MARVIN",
"middle_name": "EDSON",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-02",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "10877",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10877",
"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 Jul 16, 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.