Active NPI
Victoria Pentecost
- Mental Health Counselor
- Conroe, TX
National Provider Identifier
1295206993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84232
- Practice address
- 212 Conroe Dr
Conroe, TX 77301-1950 - Phone
- (832) 777-8565
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84232 | TX | Primary |
| Behavior Technician | 106S00000X | RBT-18-72544 |
Addresses
Primary practice location
212 Conroe Dr
Conroe, TX 77301-1950
Mailing address
19013 Hammer LN
Porter, TX 77365-3077
Other practice location 1
15703 Longenbaugh Dr
Houston, TX 77095-1605
Phone (281) 258-4447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84232 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1295206993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19013 HAMMER LN",
"city": "PORTER",
"state": "TX",
"postal_code": "773653077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CONROE DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773011950",
"telephone_number": "832-777-8565"
}
],
"practiceLocations": [
{
"address_1": "15703 Longenbaugh Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770951605",
"country_code": "US",
"telephone_number": "281-258-4447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENTECOST",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84232",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-18-72544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.