Individual provider Active NPI

Judy Lee Bou Kheir, LPC

  • Counselor
  • Katy, TX
National Provider Identifier
1184284325
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
77549 Issued in TX
Practice address
26311 Westheimer Pkwy
Katy, TX 77494-5368
Phone
(832) 368-5983
NPI assigned
Jun 19, 2019
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77549 TX Primary

Addresses

Primary practice location

26311 Westheimer Pkwy
Katy, TX 77494-5368

Mailing address

26311 Westheimer Pkwy
Katy, TX 77494-5368
Phone (832) 368-5983

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL KatyTX Direct
CONNECT URL KatyTX Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002926 TX Practitioner - Mental Health Counselor 1850734476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26311 Westheimer Pkwy
Katy, TX 77494-5368
Phone (832) 368-5983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77549TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Therapy Group PLLC Counselor CurrentSince Jan 24, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: judyboukheir@tdh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1184284325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26311 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945368",
            "telephone_number": "832-368-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26311 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945368",
            "telephone_number": "832-368-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU KHEIR",
        "first_name": "JUDY",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KatyTX",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "KatyTX",
            "address_1": "26311 Westheimer Pkwy",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774945368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KatyTX",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "KatyTX",
            "address_1": "26311 Westheimer Pkwy",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774945368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.