Organization Active NPI

Creating Connections Counseling Services PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1174131569
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CREATING CONNECTIONS COUNSELING SERVICES PLLC
Practice address
13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone
(832) 639-8080
NPI assigned
Jul 21, 2020
Last updated
Mar 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Authorized official

Name
Doretha Pengel, LCSWNPI 1205156809
Title
Owner
Phone
(832) 639-8080

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883

Mailing address

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone (832) 639-8080

Other practice location 1

15 Canoe Bend Dr
Spring, TX 77389-5091
Phone (646) 797-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819001448 TX Part B Supplier - Clinic/Group Practice 7618393737 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

26400 Kuykendahl Rd
Ste C180278
Tomball, TX 77375
Phone (646) 797-9051

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1174131569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691883",
            "telephone_number": "832-639-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691883",
            "telephone_number": "832-639-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Canoe Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773895091",
            "country_code": "US",
            "telephone_number": "646-797-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATING CONNECTIONS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "PENGEL",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-639-8080",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.