Active NPI
R.E.S.T Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conroe, TX
National Provider Identifier
1336813138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568875698 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
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.