Individual provider Active NPI

Marianne Adams

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1427649284
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88727 Issued in TX
Practice address
3818 Eastside St Apt 19206
Houston, TX 77098-3821
Phone
(843) 494-2521
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8230 SC
Professional Counselor 101YP2500X 88727 TX Primary

Addresses

Primary practice location

3818 Eastside St Apt 19206
Houston, TX 77098-3821

Mailing address

3818 Eastside St Apt 19206
Houston, TX 77098-3821
Phone (843) 494-2521

Other identifiers 1

IdentifierTypeStateIssuer
1760596480MedicaidSC

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
I20231130000257 TX Practitioner - Mental Health Counselor 7517315690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88727TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Graceland Psychiatric and Neuromodulation Center PLLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

619 N Providence Rd
Columbia, MO 65203
Phone (573) 234-1070

33 E Broadway
Ste 155
Columbia, MO 65203

2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1427649284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 EASTSIDE ST APT 19206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983821",
            "telephone_number": "843-494-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 EASTSIDE ST APT 19206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983821",
            "telephone_number": "843-494-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8230",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760596480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.