Active NPI
Davardo D Rolle
- Professional Counselor
- Houston, TX
National Provider Identifier
1104636257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 84331
- Practice address
- 9026 Creekstone Lake Dr
Houston, TX 77054-1029 - Phone
- (832) 491-3318
- NPI assigned
- Jan 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84331 | TX | Primary |
Addresses
Primary practice location
9026 Creekstone Lake Dr
Houston, TX 77054-1029
Mailing address
9026 Creekstone Lake Dr
Houston, TX 77054-1029
Phone (832) 491-3318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84331 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1104636257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9026 CREEKSTONE LAKE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541029",
"telephone_number": "832-491-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9026 CREEKSTONE LAKE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541029",
"telephone_number": "832-491-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLE",
"first_name": "DAVARDO",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-10",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84331",
"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 Aug 21, 2026; 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.