Active NPI
Kevin Spain, MAMFC
- Professional Counselor
- Houston, TX
National Provider Identifier
1386044949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68222
- Practice address
- 11999 Katy Fwy
Suite 530
Houston, TX 77079-1611 - Phone
- (832) 712-5704
- NPI assigned
- Sep 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68222 | TX | Primary |
Addresses
Primary practice location
11999 Katy Fwy
Suite 530
Houston, TX 77079-1611
Mailing address
1819 Augusta Dr
Apt 237
Houston, TX 77057-3144
Phone (832) 712-5704
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 |
|---|---|---|---|
| 68222 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409529600000",
"number": "1386044949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 AUGUSTA DR",
"address_2": "APT 237",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770573144",
"telephone_number": "832-712-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11999 KATY FWY",
"address_2": "SUITE 530",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770791611",
"telephone_number": "832-712-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "MAMFC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-01",
"last_updated": "2014-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68222",
"primary": true
}
],
"identifiers": [],
"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 Sep 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.