Individual provider Active NPI

Mamta Chhabra, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1205089430
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
59548 Issued in TX
Practice address
4119 Montrose Blvd Ste 500
Houston, TX 77006-4970
Phone
(512) 956-6463
Fax
(866) 653-5142
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 59548 TX Primary

Addresses

Primary practice location

4119 Montrose Blvd Ste 500
Houston, TX 77006-4970

Mailing address

7010 Staffordshire Blvd Apt 550
Houston, TX 77030-4137
Phone (281) 793-5785

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
I20240422003369 TX Practitioner - Mental Health Counselor 4880033943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

508 Deep Eddy Ave
Austin, TX 78703-4555

PO Box
Dallas, TX 75265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59548TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Centered Psychiatry PLLC CurrentSince Apr 12, 2024 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Apr 12, 2024 Accepting new patients

Locations

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1205089430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 STAFFORDSHIRE BLVD APT 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304137",
            "telephone_number": "281-793-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 MONTROSE BLVD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064970",
            "telephone_number": "512-956-6463",
            "fax_number": "866-653-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "MAMTA",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.