Active NPI
Provilla Henderson Scruggs, M.ED.
- Marriage & Family Therapist
- Houston, TX
National Provider Identifier
1225208226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1929
- Practice address
- 8303 Southwest Fwy
640
Houston, TX 77074-1600 - Phone
- (832) 816-8984
- Fax
- (832) 816-8984
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 723 | TX | |
| Marriage & Family Therapist | 106H00000X | 1929 | TX | Primary |
Addresses
Primary practice location
8303 Southwest Fwy
640
Houston, TX 77074-1600
Mailing address
13010 Flaxseed Way
Stafford, TX 77477-3408
Phone (281) 564-4348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070928901 | Medicaid | TX |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 723 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 1929 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provilla Henderson Scruggs & Associates, Inc., P.C. | Marriage & Family Therapist | Past | Accepting new patients |
| Scruggs & Associates Family Counseling Center, P.C., Inc. | Marriage & Family Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Stafford, TX
- NPI 1265549117
-
- Community/Behavioral Health Agency
- Stafford, TX
- NPI 1326297821
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1225208226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13010 FLAXSEED WAY",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773408",
"telephone_number": "281-564-4348",
"fax_number": "281-564-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 SOUTHWEST FWY",
"address_2": "640",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741600",
"telephone_number": "832-816-8984",
"fax_number": "832-816-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "PROVILLA",
"middle_name": "HENDERSON",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "723",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070928901",
"state": "TX"
}
],
"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 Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.