Active NPI
Kathleen Rose Ewell, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1245090612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 88274
- Practice address
- 3515 W Dallas St Apt 7075
Houston, TX 77019-1886 - Phone
- (609) 471-3917
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 88274 | TX | Primary |
Addresses
Primary practice location
3515 W Dallas St Apt 7075
Houston, TX 77019-1886
Mailing address
562 Portsmouth CT
Naples, FL 34110-8686
Phone (609) 471-3917
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88274 | TX | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1245090612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 PORTSMOUTH CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341108686",
"telephone_number": "609-471-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 W DALLAS ST APT 7075",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770191886",
"telephone_number": "609-471-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWELL",
"first_name": "KATHLEEN",
"middle_name": "ROSE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "88274",
"primary": true
}
],
"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 Mar 21, 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.