Individual provider Active NPI

Lastacie Deshon Alexander-Johnson

  • Counselor
  • Humble, TX
National Provider Identifier
1194556290
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
7127 Leens Lodge LN
Humble, TX 77346-3344
Phone
(832) 450-1611
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

7127 Leens Lodge LN
Humble, TX 77346-3344

Mailing address

7127 Leens Lodge LN
Humble, TX 77346-3344
Phone (832) 450-1611

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

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1194556290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 LEENS LODGE LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463344",
            "telephone_number": "832-450-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 LEENS LODGE LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463344",
            "telephone_number": "832-450-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-JOHNSON",
        "first_name": "LASTACIE",
        "middle_name": "DESHON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.