Organization Active NPI

Kinghaven Counseling Group Inc

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1396807350
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KINGHAVEN COUNSELING GROUP INC
Practice address
6100 Hillcroft Ave Ste 642
Houston, TX 77081-1009
Phone
(713) 457-4372
Fax
(713) 457-0945
NPI assigned
Dec 15, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Mr. Shegun Olagundoye
Title
Cfo
Phone
(713) 457-4372

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X TX
Professional Counselor 101YP2500X NU
Clinical Neuropsychologist 103G00000X NU
Psychologist 103T00000X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Adult Development & Aging Psychologist 103TA0700X NU
Clinical Child & Adolescent Psychologist 103TC2200X NU
Group Psychotherapy Psychologist 103TP2701X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Psychiatry Physician 2084P0800X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

6100 Hillcroft Ave Ste 642
Houston, TX 77081-1009

Mailing address

6100 Hillcroft Ave Ste 642
Houston, TX 77081-1009
Phone (713) 457-4372

Other practice location 1

11811 Fm 1960 Rd W Ste 190
Houston, TX 77065-3829
Phone (713) 457-4372

Other practice location 2

11455 Fallbrook Dr Ste 101
Houston, TX 77065-4266
Phone (713) 457-4372

Other practice location 3

3025 E Renner Rd Ste 120
Richardson, TX 75082-3581
Phone (214) 257-0682

Other practice location 4

6315 Gulfton St
Suite 100
Houston, TX 77081-1107
Phone (713) 457-4372

Other practice location 5

3425 Highway 6 Ste 102
Sugar Land, TX 77478-4439
Phone (713) 457-4372

Other identifiers 3

IdentifierTypeStateIssuer
158284301MedicaidTX
3496-3497OtherTXSUBSTANCE ABUSE FACILITY
158284305MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000390 TX Part B Supplier - Clinic/Group Practice 5597898510 Receives reassigned benefits from 54 practitioners
Practice locations: Richardson, TX; Sugar Land, TX; Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2044533Kinghaven Counseling Group, Inc11811 FM 1960 W Ste 130, Houston, TX 77065Certificate of waiverJun 28, 2027
45D2284896Kinghaven Counseling Group Inc3425 Highway 6 Ste 103, Sugar Land, TX 77478Certificate of waiverJun 28, 2027
45D2284900Kinghaven Counseling Group Inc3025 E Renner Rd Ste 120, Richardson, TX 75082Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Locations

6500 Naaman Forest Blvd
Garland, TX 75044
Phone (214) 257-0682

11455 Fallbrook Dr
Ste 101
Houston, TX 77065
Phone (281) 897-9966

11811 FM 1960 Rd W
Ste 130
Houston, TX 77065
Phone (281) 894-4500

6100 Hillcroft Ave
Ste 642
Houston, TX 77081

9100 Southwest Fwy
Ste 100
Houston, TX 77074
Phone (713) 772-9722

1420 FM 1960 Bypass Rd E
Ste 116
Humble, TX 77338

1525 Lakeville Dr
Ste 108
Kingwood, TX 77339
Phone (281) 812-7529

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

3030 Edgewater Blvd
Ste C
Sugar Land, TX 77478

3425 Highway 6
Ste 102
Sugar Land, TX 77478

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1396807350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HILLCROFT AVE STE 642",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811009",
            "telephone_number": "713-457-4372",
            "fax_number": "713-457-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HILLCROFT AVE STE 642",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811009",
            "telephone_number": "713-457-4372",
            "fax_number": "713-457-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11811 Fm 1960 Rd W Ste 190",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770653829",
            "country_code": "US",
            "telephone_number": "713-457-4372",
            "fax_number": "713-457-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11455 Fallbrook Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770654266",
            "country_code": "US",
            "telephone_number": "713-457-4372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 E Renner Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823581",
            "country_code": "US",
            "telephone_number": "214-257-0682",
            "fax_number": "713-457-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6315 Gulfton St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770811107",
            "country_code": "US",
            "telephone_number": "713-457-4372",
            "fax_number": "713-457-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Highway 6 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784439",
            "country_code": "US",
            "telephone_number": "713-457-4372",
            "fax_number": "713-457-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGHAVEN COUNSELING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "OLAGUNDOYE",
        "authorized_official_first_name": "SHEGUN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-457-4372",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158284301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE FACILITY",
            "identifier": "3496-3497",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158284305",
            "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 Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.