Individual provider Active NPI

Lydia Ruth Giordano

  • Professional Counselor
  • Manvel, TX
National Provider Identifier
1215447909
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78236 Issued in TX
Practice address
20351 Highway 6 Ste B
Manvel, TX 77578-3882
Phone
(979) 233-1584
Fax
(832) 753-7479
NPI assigned
Oct 6, 2017
Last updated
Mar 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 13967 TX
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 78236 TX Primary

Addresses

Primary practice location

20351 Highway 6 Ste B
Manvel, TX 77578-3882

Mailing address

5445 Almeda Rd Ste 407
Houston, TX 77004-7434
Phone (281) 909-1024

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
I20240603002108 TX Practitioner - Mental Health Counselor 7618311671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mys Counseling and Assessment PLLCGroup PAC ID 5991149957, 7 clinicians

Practice addresses (Care Compare)

20351 Hwy 6
Suite B
Manvel, TX 77578-3882
Phone (979) 233-1584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13967TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Comprehensive Assessment Center PC Addiction (Substance Use Disorder) Current Accepting new patients
Mys Counseling & Assessment PLLC Professional CurrentSince Apr 20, 2024 Accepting new patients
Jones Comprehensive Assessment Center PC Multi-Specialty Current Accepting new patients

Locations

5445 Almeda Rd
Ste 407
Houston, TX 77004
Phone (214) 997-4697

20351 Highway 6
Ste B
Manvel, TX 77578
Phone (281) 303-1198

3634 Glenn Lakes Ln
Ste 180
Missouri City, TX 77459

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1215447909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALMEDA RD STE 407",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047434",
            "telephone_number": "281-909-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20351 HIGHWAY 6 STE B",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783882",
            "telephone_number": "979-233-1584",
            "fax_number": "832-753-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "LYDIA",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13967",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

Verify at the official NPI Registry.