Individual provider Active NPI

Kimberly Ann Glaudy, LMFT

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1215502042
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203417 Issued in TX
Practice address
16770 Imperial Valley Dr Ste 125G
Houston, TX 77060-3428
Phone
(281) 843-5621
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203417 TX Primary

Addresses

Primary practice location

16770 Imperial Valley Dr Ste 125G
Houston, TX 77060-3428

Mailing address

2111 Old Holzwarth Rd Apt 2407
Spring, TX 77388-4694
Phone (713) 377-3202

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

State licenses

LicenseStateTypeSpecialty
203417TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foundation Initiatives, PLLC Current Accepting new patients

Locations

16770 Imperial Valley Dr
Ste 125G
Houston, TX 77060
Phone (281) 843-5621

Organizations & group practices 1

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1215502042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 OLD HOLZWARTH RD APT 2407",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884694",
            "telephone_number": "713-377-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 IMPERIAL VALLEY DR STE 125G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603428",
            "telephone_number": "281-843-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUDY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203417",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 24, 2021; 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.