Organization Active NPI

Crosscreek Counseling Center

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1396048195
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36608 Issued in TX
Legal business name
CROSSCREEK COUNSELING CENTER
Practice address
11999 Katy Fwy
Suite 101
Houston, TX 77079-1611
Phone
(281) 755-1365
Fax
(713) 583-1835
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Heather Dean, LCSW, LSOTPNPI 1255582573
Title
Owner
Phone
(281) 755-1365

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 36608 TX Primary

Addresses

Primary practice location

11999 Katy Fwy
Suite 101
Houston, TX 77079-1611

Mailing address

11999 Katy Fwy
Suite 101
Houston, TX 77079-1611
Phone (281) 755-1365

Other identifiers 2

IdentifierTypeStateIssuer
12152678OtherCAQH
196279701MedicaidTX

National Provider Directory

National Provider Directory

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1396048195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791611",
            "telephone_number": "281-755-1365",
            "fax_number": "713-583-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791611",
            "telephone_number": "281-755-1365",
            "fax_number": "713-583-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSCREEK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-755-1365",
        "authorized_official_credential": "LCSW, LSOTP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12152678",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196279701",
            "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 Dec 16, 2010; 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.