Deep Well Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DEEP WELL COUNSELING, PLLC

Practice address

955 Dairy Ashford Rd Ste 108
Houston, TX 77079-5307

Phone

(713) 842-9510

NPI assigned

Nov 27, 2023

Last updated

Sep 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vienna CornellNPI 1356959696

Title

Owner

Phone

(713) 842-9510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Vienna Cornell

  • Professional Counselor
  • Houston, TX
  • NPI 1356959696
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1225804743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD RD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD RD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795307",
            "telephone_number": "713-842-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Citywest Blvd Ste 150-140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770423000",
            "country_code": "US",
            "telephone_number": "713-842-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Dairy Ashford Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770795307",
            "country_code": "US",
            "telephone_number": "713-842-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEP WELL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "VIENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-842-9510"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.