NPIMap

Organization Active NPI

Mynd Your Mental Enterprises

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1194414474
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MYND YOUR MENTAL ENTERPRISES
Practice address
2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823
Phone
(832) 291-8363
Fax
(832) 203-7115
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Glenda Evette Demas, LPCNPI 1912421983
Title
Clinical Director
Phone
(832) 291-8363

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823

Mailing address

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823
Phone (832) 291-8363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1194414474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947823",
            "telephone_number": "832-291-8363",
            "fax_number": "832-203-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947823",
            "telephone_number": "832-291-8363",
            "fax_number": "832-203-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYND YOUR MENTAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "DEMAS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-291-8363",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.