Individual provider Active NPI

Lauren Michele Novak, LMFT, LPC-A

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1255192985
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
203315 Issued in TX
Practice address
5757 Woodway Dr Ste 285
Houston, TX 77057-1533
Phone
(713) 589-7941
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82121 TX
Mental Health Counselor 101YM0800X 203315 TX Primary

Addresses

Primary practice location

5757 Woodway Dr Ste 285
Houston, TX 77057-1533

Mailing address

5757 Woodway Dr Ste 285
Houston, TX 77057-1533

Other practice location 1

900 Lovett Blvd
Houston, TX 77006-3908
Phone (713) 589-7941

Other names 1

  • Lauren Michele Carballo Professional name

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

LicenseStateTypeSpecialty
203315TXMDMental Health Counselor
82121TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ethos Prism, LLC PastSince Jan 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1255192985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR STE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR STE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571533",
            "telephone_number": "713-589-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Lovett Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770063908",
            "country_code": "US",
            "telephone_number": "713-589-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LAUREN",
        "middle_name": "MICHELE",
        "credential": "LMFT, LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82121",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "203315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CARBALLO",
            "middle_name": "MICHELE",
            "credential": "LMFT, LPC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 22, 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.