Individual provider Active NPI

Lola M. Clay, LPC, BCPC

  • Counselor
  • Missouri City, TX
National Provider Identifier
1275861262
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63309 Issued in TX
Practice address
9119 Highway 6
Suite 230 #189
Missouri City, TX 77459-4876
Phone
(713) 459-8505
Fax
(713) 400-3549
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63309 TX Primary

Addresses

Primary practice location

9119 Highway 6
Suite 230 #189
Missouri City, TX 77459-4876

Mailing address

9119 Highway 6
Suite 230 #189
Missouri City, TX 77459-4876
Phone (713) 459-8505

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

LicenseStateTypeSpecialty
63309TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1275861262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6",
            "address_2": "SUITE 230 #189",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "713-459-8505",
            "fax_number": "713-400-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6",
            "address_2": "SUITE 230 #189",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "713-459-8505",
            "fax_number": "713-400-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "LOLA",
        "middle_name": "M.",
        "credential": "LPC, BCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.