Individual provider Active NPI

Tina Lee

  • Professional Counselor
  • Missouri City, TX
National Provider Identifier
1407743776
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92652 Issued in TX
Practice address
4855 Riverstone Blvd
Missouri City, TX 77459-4377
Phone
(832) 945-3139
Fax
(281) 431-3969
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X TX
Professional Counselor 101YP2500X 92652 TX Primary

Addresses

Primary practice location

4855 Riverstone Blvd
Missouri City, TX 77459-4377

Mailing address

4014 Redwood Hill CT
Fresno, TX 77545-8726
Phone (832) 331-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260620000205 TX Practitioner - Mental Health Counselor 3274006390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4855 Riverstone Blvd
Suite 102
Missouri City, TX 77459-4377

5111 Fremont Dr
Manvel, TX 77578-2314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92652TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart Counseling Service LLC Professional CurrentSince Jun 4, 2026 Accepting new patients

Locations

4855 Riverstone Blvd
Ste 102
Missouri City, TX 77459
Phone (832) 656-8058

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1407743776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 REDWOOD HILL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458726",
            "telephone_number": "832-331-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVERSTONE BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594377",
            "telephone_number": "832-945-3139",
            "fax_number": "281-431-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.