Organization Active NPI

Shalom Mental Health

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1275097115
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHALOM MENTAL HEALTH
Doing business as
Shalom Mental Health
Practice address
16727 FM 529 Rd
Houston, TX 77095-1311
Phone
(832) 739-9720
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Ekow Kwakye, LPCNPI 1083198337
Title
President
Phone
(832) 739-9720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

16727 FM 529 Rd
Houston, TX 77095-1311

Mailing address

18815 Primrose Edge CT
Cypress, TX 77429-1114
Phone (832) 739-9720

Other identifiers 1

IdentifierTypeStateIssuer
390342901MedicaidTX

Other names 1

  • Shalom Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

16727 FM 529 Rd
Houston, TX 77095
Phone (832) 739-9720

7171 Highway 6 N
Ste 105
Houston, TX 77095
Phone (832) 356-8549

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1275097115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18815 PRIMROSE EDGE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291114",
            "telephone_number": "832-739-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16727 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951311",
            "telephone_number": "832-739-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "KWAKYE",
        "authorized_official_first_name": "EKOW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-739-9720",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390342901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.