Organization Active NPI

Ahava Wellness

  • Mental Health Counselor
  • Lake Jackson, TX
National Provider Identifier
1124580295
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AHAVA WELLNESS
Practice address
135 Oyster Creek Dr Ste I
Lake Jackson, TX 77566-4118
Phone
(832) 463-9059
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Michelle Langley, LPCNPI 1326529066
Title
Founder/Therapist
Phone
(832) 463-9059

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

135 Oyster Creek Dr Ste I
Lake Jackson, TX 77566-4118

Mailing address

416 Huckleberry Dr
Lake Jackson, TX 77566-4319
Phone (832) 463-9059

National Provider Directory

National Provider Directory

Locations

135 Oyster Creek Dr
Ste I
Lake Jackson, TX 77566
Phone (832) 463-9059

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": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1124580295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HUCKLEBERRY DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664319",
            "telephone_number": "832-463-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE I",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664118",
            "telephone_number": "832-463-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "832-463-9059",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.