Active NPI
Memorial Hermann Counseling Center
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1447214341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MEMORIAL HERMANN COUNSELING CENTER
- Practice address
- 2000 North Loop West
Suite 200
Houston, TX 77018 - Phone
- (713) 868-2908
- Fax
- (713) 864-2395
- NPI assigned
- Apr 17, 2006
- Last updated
- Aug 8, 2008
- 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
- Ava B Profota, L.C.S.W.
- Title
- Clinical Manager
- Phone
- (713) 868-2908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2000 North Loop West
Suite 200
Houston, TX 77018
Mailing address
2000 North Loop West
Suite 200
Houston, TX 77018
Phone (713) 868-2908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1722852 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Memorial Hermann Counseling Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1568835312
-
- Psychiatric Hospital Unit
- Houston, TX
- NPI 1700919552
Locations
2000 North Loop W
Ste 200
Houston, TX 77018
Phone (713) 812-7173
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Houston, TX
- NPI 1760530489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1447214341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NORTH LOOP WEST",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77018",
"telephone_number": "713-868-2908",
"fax_number": "713-864-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NORTH LOOP WEST",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77018",
"telephone_number": "713-868-2908",
"fax_number": "713-864-2395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HERMANN COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "PROFOTA",
"authorized_official_first_name": "AVA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CLINICAL MANAGER",
"authorized_official_telephone_number": "713-868-2908",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1722852",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Memorial Hermann Community Benefit Corporation (Memorial Hermann Health Centers for Schools--Hogg Clinic)
- Memorial Hermann Community Benefit Corporation (Memorial Hermann Health Centers for Schools--Burbank Clinic)
- Memorial Hermann Community Benefit Corporation (Memorial Hermann Health Centers for Schools--Nimitz Clinic)
- Memorial Hermann Continuing Care Corporation (Memorial Hermann Continuing Care Hospital)
- Memorial Hermann Continuing Care Corporation (Memorial Hermann Spring Shadows Pines)
- Memorial Hermann Endoscopy & Surgery Center North Houston, LLC (North Houston Endoscopy & Surgery Center)
- Memorial Hermann Endoscopy Center North Freeway LLC (Memorial Hermann Endoscopy Center North Loop)
- Memorial Hermann Health System (MHHS NW Radiation Therapy)
- Memorial Hermann Health System (Children's Memorial Hermann Dialysis Center)
- Memorial Hermann Health System (Memorial Hermann Imaging Centers-Hedwig Village Center RR)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.