Organization Active NPI

Free Your Mind Professional Counseling Services,PLLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1114379286
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67425 Issued in TX
Legal business name
FREE YOUR MIND PROFESSIONAL COUNSELING SERVICES,PLLC
Practice address
440 Benmar Dr
Suite#1176
Houston, TX 77060-3165
Phone
(832) 850-6422
Fax
(832) 850-7852
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Miss Nakeisha Quian Washington, M.A,LPC-S/NCCNPI 1003156597
Title
Clinical Director
Phone
(832) 850-6422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 67425 TX Primary

Addresses

Primary practice location

440 Benmar Dr
Suite#1176
Houston, TX 77060-3165

Mailing address

440 Benmar Dr
Suite#1176
Houston, TX 77060-3165
Phone (832) 850-6422

National Provider Directory

National Provider Directory

Locations

440 Benmar Dr
Ste 1176
Houston, TX 77060
Phone (832) 850-6422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1114379286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR",
            "address_2": "SUITE#1176",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603165",
            "telephone_number": "832-850-6422",
            "fax_number": "832-850-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR",
            "address_2": "SUITE#1176",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603165",
            "telephone_number": "832-850-6422",
            "fax_number": "832-850-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE YOUR MIND PROFESSIONAL COUNSELING SERVICES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "NAKEISHA",
        "authorized_official_middle_name": "QUIAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-850-6422",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A,LPC-S/NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67425",
            "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 12, 2016; 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.