Organization Active NPI

Pearls of Change Wellness

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1447722624
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEARLS OF CHANGE WELLNESS
Practice address
2003 Scarlet Trail CT
Katy, TX 77494-5859
Phone
(832) 291-8363
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Glenda E Demas, LPCNPI 1912421983
Title
Owner
Phone
(832) 291-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2003 Scarlet Trail CT
Katy, TX 77494-5859

Mailing address

2003 Scarlet Trail CT
Katy, TX 77494-5859
Phone (832) 291-8363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1447722624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SCARLET TRAIL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945859",
            "telephone_number": "832-291-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 SCARLET TRAIL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945859",
            "telephone_number": "832-291-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS OF CHANGE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "DEMAS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-291-8363",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.