Active NPI
Keadra Latrice Benford
- Professional Counselor
- Houston, TX
National Provider Identifier
1245911486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 103547
- Practice address
- 13907 Winthorpe CT
Houston, TX 77047-1180 - Phone
- (713) 476-2452
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 31, 2023
- 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 | 103547 | TX | Primary |
Addresses
Primary practice location
13907 Winthorpe CT
Houston, TX 77047-1180
Mailing address
13907 Winthorpe CT
Houston, TX 77047-1180
Phone (713) 476-2452
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 |
|---|---|---|---|
| 103547 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1245911486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13907 WINTHORPE CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770471180",
"telephone_number": "713-476-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13907 WINTHORPE CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770471180",
"telephone_number": "713-476-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENFORD",
"first_name": "KEADRA",
"middle_name": "LATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "103547",
"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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.