Individual provider Active NPI

Robert Wayne Gaertner

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1285484139
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88131 Issued in TX
Practice address
19500 St Hwy 249 Ste 120
Houston, TX 77070-3027
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Mar 25, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 88131 TX
Professional Counselor 101YP2500X 88131 TX Primary

Addresses

Primary practice location

19500 St Hwy 249 Ste 120
Houston, TX 77070-3027

Mailing address

880 Elm Dr
Brenham, TX 77833-6548
Phone (979) 451-1317

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
I20240913002581 TX Practitioner - Mental Health Counselor 0345780581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texana CenterGroup PAC ID 7618963265, 23 clinicians

Practice addresses (Care Compare)

4910 Airport Ave
Rosenberg, TX 77471-5759
Phone (281) 239-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88131TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texana Center CurrentSince Mar 1, 2025 Accepting new patients

Locations

400 Avenue F
Bay City, TX 77414
Phone (979) 245-9231

539 FM 359 Rd S
Brookshire, TX 77423

1460 Walnut St
Columbus, TX 78934
Phone (979) 732-6204

4910 Airport Ave
Ste A
Rosenberg, TX 77471
Phone (281) 239-1300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

2535 Cordes Dr
Sugar Land, TX 77479
Phone (281) 276-4400

3007 N Richmond Rd
Wharton, TX 77488
Phone (409) 732-2356

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1285484139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 ELM DR",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778336548",
            "telephone_number": "979-451-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 ST HWY 249 STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703027",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTNER",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.