Individual provider Active NPI

Mariel Chinouyazue-Mason, M.ED., LPC

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1154929818
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82380 Issued in TX
Practice address
1801 Kingwood Dr Ste 200
Kingwood, TX 77339-3059
Phone
(832) 233-3086
Fax
(832) 415-3050
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82380 TX Primary

Addresses

Primary practice location

1801 Kingwood Dr Ste 200
Kingwood, TX 77339-3059

Mailing address

PO Box 5857
Kingwood, TX 77325-5857
Phone (832) 233-3086

Other identifiers 1

IdentifierTypeStateIssuer
82380OtherTXTEXAS STATE BOARD OF PROFESSIONAL COUNSELORS

Other names 1

  • Mariel Chinouyazue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
82380TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kbccms, LLC Professional CurrentSince Oct 25, 2020 Accepting new patients
Kimberly Boyd Counseling Center, LLC Mental Health PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 2

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1154929818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5857",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255857",
            "telephone_number": "832-233-3086",
            "fax_number": "832-415-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 KINGWOOD DR STE 200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393059",
            "telephone_number": "832-233-3086",
            "fax_number": "832-415-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINOUYAZUE-MASON",
        "first_name": "MARIEL",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PROFESSIONAL COUNSELORS",
            "identifier": "82380",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEL",
            "last_name": "CHINOUYAZUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.