Active NPI
Nancy Kendall Southern, M.ED., LPC
- Mental Health Counselor
- Sugar Land, TX
National Provider Identifier
1295350270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75953
- Practice address
- 2710 Grants Lake Blvd Unit D2
Sugar Land, TX 77479-1351 - Phone
- (832) 844-0499
- Fax
- (832) 957-1907
- NPI assigned
- Jun 15, 2020
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75953 | TX | Primary |
Addresses
Primary practice location
2710 Grants Lake Blvd Unit D2
Sugar Land, TX 77479-1351
Mailing address
PO Box 16746
Sugar Land, TX 77496-6746
Phone (832) 844-0499
Other practice location 1
14110 Ragus Lake Dr
Sugar Land, TX 77498-2491
Phone (281) 961-3848
Other practice location 2
3400 Bissonnet St Ste 272
Houston, TX 77005-2192
Phone (832) 844-0499
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75953 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1295350270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16746",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774966746",
"telephone_number": "832-844-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 GRANTS LAKE BLVD UNIT D2",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791351",
"telephone_number": "832-844-0499",
"fax_number": "832-957-1907"
}
],
"practiceLocations": [
{
"address_1": "14110 Ragus Lake Dr",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774982491",
"country_code": "US",
"telephone_number": "281-961-3848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Bissonnet St Ste 272",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770052192",
"country_code": "US",
"telephone_number": "832-844-0499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUTHERN",
"first_name": "NANCY",
"middle_name": "KENDALL",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "75953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Karina Soto, ED.D.
- Soulace Therapy PLLC
- Sound Inpatient Physicians of Texas I, Inc
- Southeast Texas First Assisting Services
- Southern Pain Institute, P.a. (Texas Pain Institute)
- Southwest Cardiology Associates, P.a.
- Southwest Health Associates P.a.
- Southwest Houston Anesthesia, PA
- Southwest Houston OB/Gyncenter
- Southwest MRI LP (Sugarland MRI)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.