NPIMap

Organization Active NPI

Third Space Therapy PLLC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1215780234
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THIRD SPACE THERAPY PLLC
Practice address
1942 W Gray St
Houston, TX 77019-4816
Phone
(408) 857-9016
NPI assigned
Apr 9, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Belinda Milford, MDNPI 1619133030
Title
President
Phone
(408) 857-9016

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
Mental Health Counselor 101YM0800X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

1942 W Gray St
Houston, TX 77019-4816

Mailing address

1942 W Gray St
Houston, TX 77019-4816
Phone (408) 857-9016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250217001726 MA Part B Supplier - Clinic/Group Practice 8729518014 Receives reassigned benefits from 16 practitioners
Practice locations: Boston, MA
O20250501000398 VA Part B Supplier - Clinic/Group Practice 8729518014 Receives reassigned benefits from 3 practitioners
Practice locations: Richmond, VA
O20260529001974 CO Part B Supplier - Clinic/Group Practice 8729518014 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

3900 Westerre Pkwy
Ste 30
Richmond, VA 23233

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1215780234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194816",
            "telephone_number": "408-857-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194816",
            "telephone_number": "408-857-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD SPACE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "MILFORD",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-857-9016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 9, 2024; 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.