Organization Active NPI

Abiding Christian Therapy, LLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1205871860
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ABIDING CHRISTIAN THERAPY, LLC
Practice address
7703 Bridle Path Dr
Houston, TX 77044-2709
Phone
(281) 458-1967
Fax
(281) 458-1967
NPI assigned
Jun 18, 2006
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Mrs. Penny Lezak, LPCNPI 1518086446
Title
Administrator
Phone
(713) 453-2300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

7703 Bridle Path Dr
Houston, TX 77044-2709

Mailing address

12655 Woodforest Blvd Ste 700
Houston, TX 77015-3575
Phone (713) 453-2300

Other identifiers 1

IdentifierTypeStateIssuer
178749101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211014000404 TX Part B Supplier - Clinic/Group Practice 2365840857 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Abiding Christian Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12655 Woodforest Blvd
Ste 700
Houston, TX 77015
Phone (713) 453-2300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1205871860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 WOODFOREST BLVD STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153575",
            "telephone_number": "713-453-2300",
            "fax_number": "713-453-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 BRIDLE PATH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442709",
            "telephone_number": "281-458-1967",
            "fax_number": "281-458-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDING CHRISTIAN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "LEZAK",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-453-2300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178749101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.