Organization Active NPI

Self Employeed

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1427405307
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68520 Issued in TX
Legal business name
SELF EMPLOYEED
Practice address
2 Iris Arbor CT
Conroe, TX 77301-1172
Phone
(903) 220-3485
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Mrs. Karen Michelle Weeks, MA, LMFT, LPC
Title
Therapist
Phone
(903) 220-3485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 68520 TX Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 201806 TX

Addresses

Primary practice location

2 Iris Arbor CT
Conroe, TX 77301-1172

Mailing address

2 Iris Arbor CT
Conroe, TX 77301-1172

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1427405307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IRIS ARBOR CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IRIS ARBOR CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011172",
            "telephone_number": "903-220-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPLOYEED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "903-220-3485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68520",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.