Houston Mind-Body Counseling, LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

548373 Issued in TX

Legal business name

HOUSTON MIND-BODY COUNSELING, LLC

Doing business as

Houston Mind-Body Counseling

Practice address

13201 Northwest Fwy Ste 770
Houston, TX 77040-6233

Phone

(713) 523-4333

Fax

(713) 523-4493

NPI assigned

Jan 8, 2010

Last updated

Mar 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tomas Rodriguez, PHD ANP-C PMHCNS-BCNPI 1740354596

Title

President

Phone

(713) 523-4333

Specialties & licenses 2

Addresses

Other names 1

• Houston Mind-Body Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tomas Rodriguez, PHD ANP-C PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Houston, TX
  • NPI 1740354596

  Adult Health

  Medicare reassignment NPD Authorized official
• Brandy Prabucki

  • Professional Counselor
  • Houston, TX
  • NPI 1699178806
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1265762595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 NORTHWEST FWY STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406233",
            "telephone_number": "713-523-4333",
            "fax_number": "713-523-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 NORTHWEST FWY STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406233",
            "telephone_number": "713-523-4333",
            "fax_number": "713-523-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON MIND-BODY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-523-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD ANP-C PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "548373",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "548373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Mind-Body Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houston Mind-Body Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.