Active NPI
Innovative Consulting LLC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1124705421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INNOVATIVE CONSULTING LLC
- Practice address
- 4400 S Wayside Dr Ste 101
Houston, TX 77087-1125 - Phone
- (281) 793-7111
- NPI assigned
- Jun 29, 2023
- 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
- Shaunnika Green, LPC
- Title
- Provider
- Phone
- (832) 363-8515
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Registered Nurse | 163W00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
4400 S Wayside Dr Ste 101
Houston, TX 77087-1125
Mailing address
4400 S Wayside Dr Ste 101
Houston, TX 77087-1125
Phone (281) 793-7111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Houston, TX
- NPI 1881376788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1124705421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 S WAYSIDE DR STE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871125",
"telephone_number": "281-793-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 S WAYSIDE DR STE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871125",
"telephone_number": "281-793-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "SHAUNNIKA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "832-363-8515",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Innovations Wound Management, PA
- Innovative Allergy
- Innovative Alternatives, Inc.
- Innovative Alternatives, Inc.
- Innovative Alternatives, Inc.
- Innovative Counseling Options of Houston PLLC
- Innovative Health & Wellness LLC Houston Series
- Innovative Health Professionals PLLC
- Innovative Home Health LLC
- Innovative Medical Assessments
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.