Individual provider Active NPI

Larissa Farah

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1215629373
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85747 Issued in TX
Practice address
701 T C Jester Blvd Apt 6208
Houston, TX 77008-6391
Phone
(281) 755-1242
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 85747 TX Primary

Addresses

Primary practice location

701 T C Jester Blvd Apt 6208
Houston, TX 77008-6391

Mailing address

12242 Queenston Blvd Ste F
Houston, TX 77095-5353

Other practice location 1

12242 Queenston Blvd Ste F
Houston, TX 77095-5353
Phone (281) 837-6912

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
85747TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Counseling and Psychotherapy CurrentSince May 1, 2023 Accepting new patients

Locations

12242 Queenston Blvd
Ste F
Houston, TX 77095
Phone (281) 837-6912

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1215629373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12242 QUEENSTON BLVD STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 T C JESTER BLVD APT 6208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086391",
            "telephone_number": "281-755-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12242 Queenston Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770955353",
            "country_code": "US",
            "telephone_number": "281-837-6912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85747",
            "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 1, 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.