Individual provider Active NPI

Deanna Kay Abraham, LPC- S

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1124332572
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
64233 Issued in TX
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

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
64233TXMDPharmacist

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

Verify at the official NPI Registry.