Individual provider Active NPI

Letitia Shanell Powell, MA, LPC-S, PHD

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1295911436
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61735 Issued in TX
Practice address
100 Commercial Cir BLDG B101
Conroe, TX 77304-2212
Phone
(832) 704-1885
Fax
(833) 320-8545
NPI assigned
Jan 17, 2008
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 61735 TX
Professional Counselor 101YP2500X 61735 TX Primary

Addresses

Primary practice location

100 Commercial Cir BLDG B101
Conroe, TX 77304-2212

Mailing address

6046 FM 2920 Rd # 625
Spring, TX 77379-2542
Phone (832) 704-1885

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address letitiapowell@therestorativecounselingservices.com Direct

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
I20240805001583 TX Practitioner - Mental Health Counselor 0345786687 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
61735TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eduvention Mentoring and Consulting LLC CurrentSince Oct 23, 2024 Accepting new patients
Restorative Counseling Services Current Accepting new patients
106BH LLC CurrentSince Jun 25, 2024 Accepting new patients
Therapeutic Behavioral Health Assoc. Past Accepting new patients

Locations

1034 Regional Park Dr
Houston, TX 77060
Phone (281) 202-3375

8711 Highway 6 N
Ste 270
Houston, TX 77095
Phone (346) 377-6650

8717 Humble Westfield Rd
Humble, TX 77338
Phone (281) 202-3375

1290 Wonder World Dr
Ste 1230
San Marcos, TX 78666
Phone (346) 377-6650

6046 FM 2920 Rd
Spring, TX 77379
Phone (281) 451-7814

Organizations & group practices 4

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1295911436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 FM 2920 RD # 625",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792542",
            "telephone_number": "832-704-1885",
            "fax_number": "833-320-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCIAL CIR BLDG B101",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042212",
            "telephone_number": "832-704-1885",
            "fax_number": "833-320-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LETITIA",
        "middle_name": "SHANELL",
        "name_prefix": "Ms.",
        "credential": "MA, LPC-S, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61735",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "letitiapowell@therestorativecounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Commercial Cir Bldg B101",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.