Organization Active NPI

R.E.S.T Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conroe, TX
National Provider Identifier
1336813138
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
R.E.S.T COUNSELING SERVICES
Practice address
525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212
Phone
(936) 529-4745
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Doris Ferow Mims
Title
Administrator
Phone
(936) 529-4745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212

Mailing address

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212
Phone (936) 529-4745

Other identifiers 1

IdentifierTypeStateIssuer
1568875698OtherTXNPI

National Provider Directory

National Provider Directory

Locations

525 Woodland Square Blvd
Ste 250
Conroe, TX 77384
Phone (512) 202-0544

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1336813138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD STE 250",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842212",
            "telephone_number": "936-529-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD STE 250",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842212",
            "telephone_number": "936-529-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E.S.T COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "FEROW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-529-4745"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568875698",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.