Active NPI
Fabiola Mendoza Bautista, MS, LPC, NCC.
- Professional Counselor
- Houston, TX
National Provider Identifier
1245098334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 89320
- Practice address
- 918 Memorial Heights Dr
Houston, TX 77007-7079 - Phone
- (832) 817-1788
- NPI assigned
- Mar 12, 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 | 89320 | TX | Primary |
Addresses
Primary practice location
918 Memorial Heights Dr
Houston, TX 77007-7079
Mailing address
918 Memorial Heights Dr
Houston, TX 77007-7079
Phone (832) 817-1788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 12, 2024 through Mar 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89320 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Health TX, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1982476685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1245098334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 MEMORIAL HEIGHTS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770077079",
"telephone_number": "832-817-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 MEMORIAL HEIGHTS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770077079",
"telephone_number": "832-817-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA BAUTISTA",
"first_name": "FABIOLA",
"credential": "MS, LPC, NCC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "89320",
"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 Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.