Active NPI
Destine R. Rawls, LPC
- Professional Counselor
- Tomball, TX
National Provider Identifier
1265707251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66340
- Practice address
- 11439 Sugar Bowl Dr
Tomball, TX 77375-2844 - Phone
- (713) 443-1540
- Fax
- (866) 409-0069
- NPI assigned
- Mar 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 66340 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 66340 | TX |
Addresses
Primary practice location
11439 Sugar Bowl Dr
Tomball, TX 77375-2844
Mailing address
11439 Sugar Bowl Dr
Tomball, TX 77375-2844
Phone (713) 443-1540
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 |
|---|---|---|---|
| 66340 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1265707251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11439 SUGAR BOWL DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773752844",
"telephone_number": "713-443-1540",
"fax_number": "866-409-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11439 SUGAR BOWL DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773752844",
"telephone_number": "713-443-1540",
"fax_number": "866-409-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLS",
"first_name": "DESTINE",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66340",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "66340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.