Organization Active NPI

Annette Ridley, LLC

  • Rehabilitation Clinic/Center
  • Houston, TX
National Provider Identifier
1134848856
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ANNETTE RIDLEY, LLC
Practice address
11301 Richmond Ave Ste K105
Houston, TX 77082-5549
Phone
(281) 293-9600
NPI assigned
Aug 25, 2022
Organization subpart
Yes
Parent organization
LONE STAR COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Mr. Charles R Fontenot Jr., LCDCNPI 1619696515
Title
Member
Phone
(281) 293-9600

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Rehabilitation Clinic/Center 261QR0400X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

11301 Richmond Ave Ste K105
Houston, TX 77082-5549

Mailing address

PO Box 550382
Houston, TX 77255-0382
Phone (281) 293-9600

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address info@lonestarcouselingservice.com
Direct Messaging Address info@lonestarcouselingservice.com Direct
Direct Messaging Address info@lonestarcouselingservices.com
Direct Messaging Address info@lonestarcouselingservice.com Other
Direct Messaging Address crfontnot@hotmail.com Direct

National Provider Directory

National Provider Directory
Part of
Annette Ridley LLC

Practitioners & affiliated clinicians

Practitioners 4

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": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1134848856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550382",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772550382",
            "telephone_number": "281-293-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 RICHMOND AVE STE K105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825549",
            "telephone_number": "281-293-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE RIDLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONE STAR COUNSELING SERVICES",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-293-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lonestarcouselingservice.com",
            "affiliation": "N",
            "address_1": "11301 Richmond Ave Ste K105",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770825549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lonestarcouselingservice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11301 Richmond Ave Ste K105",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770825549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lonestarcouselingservices.com",
            "affiliation": "N",
            "address_1": "11301 Richmond Ave Ste K105",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770825549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lonestarcouselingservice.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info@lonestarcouselingservice.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11301 Richmond Ave Ste K105",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770825549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crfontnot@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11301 Richmond Ave Ste K105",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770825549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 4, 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.

Verify at the official NPI Registry.