Organization Active NPI

Endeavor Counseling LLC

  • Professional Counselor
  • Spring, TX
National Provider Identifier
1235986282
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ENDEAVOR COUNSELING LLC
Practice address
25203 Tuckahoe LN
Spring, TX 77373-8013
Phone
(832) 205-8138
Fax
(832) 384-9456
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Kaitlyn B Iseminger, MA, LPCNPI 1760984595
Title
Owner/Therapist
Phone
(832) 205-8138

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

25203 Tuckahoe LN
Spring, TX 77373-8013

Mailing address

25203 Tuckahoe LN
Spring, TX 77373-8013
Phone (832) 205-8138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028001261 TX Part B Supplier - Clinic/Group Practice 3971092263 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1235986282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25203 TUCKAHOE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738013",
            "telephone_number": "832-205-8138",
            "fax_number": "832-384-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25203 TUCKAHOE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738013",
            "telephone_number": "832-205-8138",
            "fax_number": "832-384-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ISEMINGER",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "832-205-8138",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.