Mae Beth's Place

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MAE BETH'S PLACE

Practice address

15002 Monrad Dr
Houston, TX 77053-1345

Phone

(832) 519-5784

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rose Marie Jackson, LMSW-AP

Title

Director

Phone

(832) 519-5784

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1316173826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 MONRAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770531345",
            "telephone_number": "832-519-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 MONRAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770531345",
            "telephone_number": "832-519-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE BETH'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-519-5784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMSW-AP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TICKET NUMBER",
            "identifier": "722757925",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pete Igbamboamaka Maduka Okafor, PHARM.D
• Chisom Maduka, MD
• Edna Maduka
• Ijeoma Maduka, PHARMD
• Kiran Madwani
• Rachel Grace Maebe, MSN, AGACNP-BC
• Kennasa Maeberry, PHLEBOTOMIST
• Jordan Maedgen, OTR/L
• Nora Maerean
• Patricia Anne Maeso, M.D.

• Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.