Organization Active NPI

North Star Child and Family Therapy, PLLC

  • Community/Behavioral Health Agency
  • Magnolia, TX
National Provider Identifier
1376313619
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH STAR CHILD AND FAMILY THERAPY, PLLC
Practice address
33130 Magnolia Cir Ste A21
Magnolia, TX 77354-3277
Phone
(281) 789-8677
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Jenessa Louise Rivas, LPC-ANPI 1306616636
Title
Managing Member
Phone
(281) 789-8677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

33130 Magnolia Cir Ste A21
Magnolia, TX 77354-3277

Mailing address

33130 Magnolia Cir Ste a
Magnolia, TX 77354-4169
Phone (281) 789-8667

National Provider Directory

National Provider Directory

Locations

33130 Magnolia Cir
Ste A
Magnolia, TX 77354

33130 Magnolia Cir
Ste A21
Magnolia, TX 77354
Phone (281) 789-8677

6606 FM 1488 Rd
Magnolia, TX 77354
Phone (909) 241-6036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1376313619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33130 MAGNOLIA CIR STE A",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544169",
            "telephone_number": "281-789-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33130 MAGNOLIA CIR STE A21",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543277",
            "telephone_number": "281-789-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR CHILD AND FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JENESSA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-789-8677",
        "authorized_official_credential": "LPC-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.