Ivana Radovancevic, MED, LPC, MD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

60789 Issued in TX

Practice address

3801 Kirby Dr
Houston, TX 77098-4100

Phone

(713) 533-9936

NPI assigned

Aug 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Master of Education

State licenses

Practice roles

Locations

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.

• Houston One Click Counseling PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1427764950
  NPD Authorized official

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1356598916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 MORSE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195733",
            "telephone_number": "713-533-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KIRBY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984100",
            "telephone_number": "713-533-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOVANCEVIC",
        "first_name": "IVANA",
        "name_prefix": "Dr.",
        "credential": "MED, LPC, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "60789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radlink Supplemental Staffing Inc.
• Farid Radmanesh, M.D., M.P.H.
• Joanne Radoff, LMSW
• Russell N Radoff, MD
• Samra Radomsky
• Emily Olga Radovic
• Adriana Radulescu, M.D.
• Aiat Radwan, MD
• Mariam Radwan
• Mirna Baz Radwan, RPH

• 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 Dec 7, 2012; 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.