Active NPI
Youth Excel Program
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1225588197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- YOUTH EXCEL PROGRAM
- Practice address
- 1111 Youpon Valley CT
Houston, TX 77073-5651 - Phone
- (832) 439-1877
- NPI assigned
- Oct 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sonya Renee Johnson
- Title
- Administrator
- Phone
- (832) 439-1877
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101YOOOOOX | TX | |
| Counselor | 101Y00000X | TX | ||
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | TX | Primary |
Addresses
Primary practice location
1111 Youpon Valley CT
Houston, TX 77073-5651
Mailing address
1111 Youpon Valley CT
Houston, TX 77073-5651
Phone (832) 439-1877
Other names 1
- Youth Excel Program
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1225588197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 YOUPON VALLEY CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770735651",
"telephone_number": "832-439-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 YOUPON VALLEY CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770735651",
"telephone_number": "832-439-1877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH EXCEL PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SONYA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-439-1877",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "101YOOOOOX",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Youth Excel Program",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.