Active NPI
Blanca Maldonado-Stevens, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1194286559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78175
- Practice address
- 3730 Kirby Dr Ste 904
Houston, TX 77098-3994 - Phone
- (832) 484-2635
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78175 | TX | Primary |
Addresses
Primary practice location
3730 Kirby Dr Ste 904
Houston, TX 77098-3994
Mailing address
702 Acacia PL
Missouri City, TX 77459-5706
Phone (281) 639-8381
Other practice location 1
702 Acacia Pl
Missouri City, TX 77459-5706
Phone (281) 639-8381
Other names 1
- Blanca Maldonado
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78175 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea Health Services Texas LLC | Current | Accepting new patients | |
| Azalea Health Services | Past | 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.
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1326871807
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1043999170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1194286559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 ACACIA PL",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595706",
"telephone_number": "281-639-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 KIRBY DR STE 904",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983994",
"telephone_number": "832-484-2635"
}
],
"practiceLocations": [
{
"address_1": "702 Acacia Pl",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774595706",
"country_code": "US",
"telephone_number": "281-639-8381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO-STEVENS",
"first_name": "BLANCA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLANCA",
"last_name": "MALDONADO",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
- Elizabeth N Malcolm
- Anna Laura Maldonado Centurion, AGACNP
- Andrea Milagros Maldonado Diaz
- Annabel Maldonado-Carrizales, OTR, M
- Maria Ximena Maldonado-Morales, LCSW, MPH
- Sofia Gabriela Maldonado-Villalba, M.D
- Ashley Maldonado, BS
- David R Maldonado, MD
- Erliz Jessenia Maldonado, NP-C
- Florence Maldonado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.