Active NPI
Deanna Kay Abraham, LPC- S
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1124332572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 64233
- Practice address
- 3600 W T C Jester Blvd Apt 28
Houston, TX 77018-5055 - Phone
- (832) 356-8255
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 64233 | TX | Primary |
Addresses
Primary practice location
3600 W T C Jester Blvd Apt 28
Houston, TX 77018-5055
Mailing address
3600 W T C Jester Blvd Apt 28
Houston, TX 77018-5055
Phone (832) 356-8255
Other practice location 1
2623 Skyview Downs Dr
Houston, TX 77047-6823
Phone (832) 216-4754
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260606000362 | TX | Practitioner - Mental Health Counselor | 4880165281 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1830 Johanna Dr
Houston, TX 77055-2408
2101 Crawford St
Suite 311
Houston, TX 77002-8942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64233 | TX | MD | Pharmacist |
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": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1124332572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W T C JESTER BLVD APT 28",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770185055",
"telephone_number": "832-356-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W T C JESTER BLVD APT 28",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770185055",
"telephone_number": "832-356-8255"
}
],
"practiceLocations": [
{
"address_1": "2623 Skyview Downs Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770476823",
"country_code": "US",
"telephone_number": "832-216-4754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "DEANNA",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "LPC- S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "64233",
"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 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.