Individual provider Active NPI

Nkemjika Ugbala, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1285163527
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
12808 Veterans Memorial Dr
Houston, TX 77014-2004
Phone
(832) 602-5114
Fax
(281) 661-8186
NPI assigned
Jun 9, 2017
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12808 Veterans Memorial Dr
Houston, TX 77014-2004

Mailing address

12808 Veterans Memorial Dr
Houston, TX 77014-2004
Phone (832) 602-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123001288 TX Practitioner - Mental Health Counselor 1557630860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightway Therapy Services LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Brightway Medical Billing, LLC Mental Health PastSince Jan 26, 2022 Accepting new patients

Locations

12808 Veterans Memorial Dr
Houston, TX 77014
Phone (281) 687-3413

12808 Veterans Memorial Dr
#A
Houston, TX 77014
Phone (832) 602-5114

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1285163527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142004",
            "telephone_number": "832-602-5114",
            "fax_number": "281-661-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142004",
            "telephone_number": "832-602-5114",
            "fax_number": "281-661-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGBALA",
        "first_name": "NKEMJIKA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.