Individual provider Active NPI

Marcelina Michell Washington, LPC, LCDC, NCC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1376130229
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82020 Issued in TX
Practice address
10190 Katy Fwy Ste 555E
Houston, TX 77043-5236
Phone
(281) 883-2222
NPI assigned
Dec 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 13746 TX
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 82020 TX
Professional Counselor 101YP2500X 82020 TX Primary

Addresses

Primary practice location

10190 Katy Fwy Ste 555E
Houston, TX 77043-5236

Mailing address

10190 Katy Fwy Ste 555E
Houston, TX 77043-5236
Phone (346) 291-3515

Other identifiers 8

IdentifierTypeStateIssuer
88-0664026OtherTXOXFORD
88-0664026MedicaidTX
88-0664026OtherTXCIGNA
88-0664026OtherTXOSCAR HEALTH
88-0664026OtherTXBLUE CROSS BLUE SHIELD- TX
88-0664026OtherTXUNITED HEALTHCARE
88-0664026OtherTXAETNA
88-0664026OtherTXOPTIMUM

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

LicenseStateTypeSpecialty
13746TXMDAddiction (Substance Use Disorder) Counselor
82020TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Stones Counseling Center, PLLC Mental Health CurrentSince Nov 26, 2023 Accepting new patients

Locations

10190 Katy Fwy
Ste 555E
Houston, TX 77043
Phone (281) 883-2222

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.

NPI Registry JSON

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1376130229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 KATY FWY STE 555E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435236",
            "telephone_number": "346-291-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 KATY FWY STE 555E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435236",
            "telephone_number": "281-883-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MARCELINA",
        "middle_name": "MICHELL",
        "name_prefix": "Ms.",
        "credential": "LPC,  LCDC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13746",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82020",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR HEALTH",
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD- TX",
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "88-0664026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "88-0664026",
            "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 Feb 2, 2023; 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.