Active NPI
Chondra Adele Perdue, MS LPC LCPC LCDC NCC
- Professional Counselor
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85973
- Practice address
- 9490 FM 1960 Bypass Rd W
Humble, TX 77338-4099 - Phone
- (346) 777-5778
- NPI assigned
- Apr 20, 2022
- Last updated
- May 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 52478 | TX | |
| Mental Health Counselor | 101YM0800X | 85973 | TX | |
| Professional Counselor | 101YP2500X | CP5406-R | NV | |
| Professional Counselor | 101YP2500X | 85973 | TX | Primary |
Addresses
Primary practice location
9490 FM 1960 Bypass Rd W
Humble, TX 77338-4099
Mailing address
9490 FM 1960 Bypass Rd West
Ste. 200 #287
Humble, TX 77338
Phone (346) 777-5778
Other practice location 1
3035 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-2205
Phone (702) 857-8800 ext. 612
Other practice location 2
8687 W Sahara Ave Ste 201
Las Vegas, NV 89117-5869
Phone (702) 845-0351
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52478 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 85973 | TX | MD | Mental Health Counselor |
| CP5406-R | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Renewing the Mind Counseling Services, LLC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- chondraperdue@tdh.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Vestavia Hills, AL
- NPI 1407485030
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1265175830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9490 FM 1960 BYPASS RD WEST",
"address_2": "STE. 200 #287",
"city": "HUMBLE",
"state": "TX",
"postal_code": "77338",
"telephone_number": "346-777-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9490 FM 1960 BYPASS RD W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384099",
"telephone_number": "346-777-5778"
}
],
"practiceLocations": [
{
"address_1": "3035 S Maryland Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891092205",
"country_code": "US",
"telephone_number": "702-857-8800 x612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8687 W Sahara Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891175869",
"country_code": "US",
"telephone_number": "702-845-0351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERDUE",
"first_name": "CHONDRA",
"middle_name": "ADELE",
"credential": "MS LPC LCPC LCDC NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "52478",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "85973",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP5406-R",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.