Active NPI
Willie Mae Lewis, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1356383244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17840
- Practice address
- 2626 S Loop W Ste 430
Houston, TX 77054 - Phone
- (281) 381-2276
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 19126 | TX | |
| Mental Health Counselor | 101YM0800X | 17840 | TX | |
| School Psychologist | 103TS0200X | 33257 | TX | |
| Professional Counselor | 101YP2500X | 17840 | TX | Primary |
Addresses
Primary practice location
2626 S Loop W Ste 430
Houston, TX 77054
Mailing address
3302 Charleston St
Houston, TX 77021-1127
Phone (713) 521-7040
Other practice location 1
3302 Charleston St
Houston, TX 77021-1127
Other practice location 2
3302 Charleston St
Houston, TX 77021
Phone (713) 521-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356383244 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19126 | TX | MD | Forensic Psychologist |
| 17840 | TX | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institue for Psychological Service | Current | Accepting new patients |
Locations
3131 Emancipation Ave
Ste 290
Houston, TX 77004
Phone (281) 407-3190
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Houston, TX
- NPI 1548139264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1356383244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 CHARLESTON ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770211127",
"telephone_number": "713-521-7040",
"fax_number": "713-440-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 S LOOP W STE 430",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "281-381-2276"
}
],
"practiceLocations": [
{
"address_1": "3302 Charleston St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770211127",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3302 Charleston St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77021",
"country_code": "US",
"telephone_number": "713-521-7040",
"fax_number": "713-440-7714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "WILLIE",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "TX",
"license": "19126",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "17840",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "33257",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356383244",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.