Active NPI
Free Your Mind Professional Counseling Services,PLLC
- Professional Counselor
- Houston, TX
National Provider Identifier
1114379286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67425
- 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
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/NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Houston, TX
- NPI 1003156597
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.