Individual provider Active NPI

Chondra Adele Perdue, MS LPC LCPC LCDC NCC

  • Professional Counselor
  • Humble, TX
National Provider Identifier
1265175830
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85973 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
52478TXMDAddiction (Substance Use Disorder) Counselor
85973TXMDMental Health Counselor
CP5406-RNVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.