Canfield Otten Psychotherapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74298 Issued in TX

Legal business name

CANFIELD OTTEN PSYCHOTHERAPY, PLLC

Practice address

2217 Park Ave
Pearland, TX 77581

Phone

(281) 997-8400

Fax

(281) 997-8404

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Canfield Otten, MA, MED, LPC, LCDC,

Title

Counselor

Phone

(281) 450-8375

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Canfield Kafrouni, MA, M.ED., LPC, LCDC

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1457873952

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1265940787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PARK AVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77581",
            "telephone_number": "281-997-8400",
            "fax_number": "281-997-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PARK AVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77581",
            "telephone_number": "281-997-8400",
            "fax_number": "281-997-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANFIELD OTTEN PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "OTTEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CANFIELD",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "281-450-8375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MED, LPC, LCDC,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13093",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffanie Risinger Campbell, M.D.
• Terry W. Campbell
• Melissa Campos
• Sabrina Campos
• Tatianna Canady
• Nathalia Canizalez
• Sergei Lindsaylee Cannady, COTA/L
• Alejandra I. Cano, M.D.
• Bethany Alyssa Cano, COTA
• Gabrielle Cantu

• Mental Health Counselor in Pearland, TX
• Providers in Pearland, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.