Individual provider Active NPI

Dina Abdelrahman

  • Counselor
  • Friendswood, TX
National Provider Identifier
1215674528
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
81109 Issued in TX
Practice address
3218 Prince George Dr
Friendswood, TX 77546-4183
Phone
(832) 425-9255
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 81109 TX Primary

Addresses

Primary practice location

3218 Prince George Dr
Friendswood, TX 77546-4183

Mailing address

3218 Prince George Dr
Friendswood, TX 77546-4183
Phone (832) 425-9255

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
I20240603003445 TX Practitioner - Mental Health Counselor 8224477799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81109TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Apr 30, 2024 Accepting new patients
Prohealth Innovations CurrentSince May 6, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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, 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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1215674528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 PRINCE GEORGE DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464183",
            "telephone_number": "832-425-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 PRINCE GEORGE DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464183",
            "telephone_number": "832-425-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELRAHMAN",
        "first_name": "DINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "81109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.