Collaborative Counseling of Kingwood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57034 Issued in TX

Legal business name

COLLABORATIVE COUNSELING OF KINGWOOD

Practice address

2316 Timber Shadows Dr Ste 202
Kingwood, TX 77339-2037

Phone

(281) 726-4230

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Tara Lisa Cameron, LCSW

Title

Owner

Phone

(281) 726-4230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1336691229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773650977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 TIMBER SHADOWS DR STE 202",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392037",
            "telephone_number": "281-726-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING OF KINGWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-726-4230",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nora-Beth Clinkenbeard, FNP-C
• Rebecca Clough
• Rainna Coelho, MD
• Clayton Alan Cole, DO
• Tamia Jada Coleman
• James Walter Collins III, MSN-FNP
• Jennifer Collins, MSW, MA, BCBA
• Marisa Comalander, FNP-C
• Ryan Joseph Comeaux, MPAS, PA-C
• Comfort Drips IV Therapy& Infusions, PLLC

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.