Active NPI
Self Employeed
- Professional Counselor
- Conroe, TX
National Provider Identifier
1427405307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68520
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68520 | TX | Primary |
| Marriage & Family Therapist | 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 DirectoryNPI 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.