Individual provider Active NPI

Nikquan Mercedes Lewis, MS, LMFT, LPC

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1295217396
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202717 Issued in TX
Practice address
13333 Dotson Rd Ste 160
Houston, TX 77070-4305
Phone
(346) 206-3992
Fax
(832) 652-3626
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75385 TX
Marriage & Family Therapist 106H00000X 202717 TX Primary

Addresses

Primary practice location

13333 Dotson Rd Ste 160
Houston, TX 77070-4305

Mailing address

13333 Dotson Rd Ste 160
Houston, TX 77070-4305
Phone (346) 206-3992

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
75385TXMDProfessional Counselor
202717TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intimate Connections PLLC Current Accepting new patients
The Resilience Center of Houston, LLC Professional PastSince Aug 8, 2016 Accepting new patients

Organizations & group practices 2

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1295217396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "346-206-3992",
            "fax_number": "832-652-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "346-206-3992",
            "fax_number": "832-652-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NIKQUAN",
        "middle_name": "MERCEDES",
        "credential": "MS, LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75385",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 2018; 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.