Active NPI
Catherine L Mukes
- Professional Counselor
- Houston, TX
National Provider Identifier
1477662484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19367
- Practice address
- 13810 Champion Forest Dr Ste 203
Houston, TX 77069-1875 - Phone
- (713) 231-6801
- Fax
- (281) 709-6754
- NPI assigned
- Aug 30, 2006
- Last updated
- May 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Professional Counselor | 101YP2500X | 19367 | TX | Primary |
Addresses
Primary practice location
13810 Champion Forest Dr Ste 203
Houston, TX 77069-1875
Mailing address
2718 Marshwood Rd
Houston, TX 77038-1122
Other practice location 1
7011 Southwest Fwy
Houston, TX 77074-2007
Phone (713) 970-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174735402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact 4 Change | Professional | Current | Accepting new patients |
| The Harris Center for Mental Health and Idd | Single Specialty | Past | Accepting new patients |
Locations
13810 Champion Forest Dr
Ste 203
Houston, TX 77069
Phone (708) 954-7434
Organizations & group practices 2
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.
-
- Professional Counselor
- Houston, TX
- NPI 1487159919
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1477662484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 MARSHWOOD RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770381122",
"fax_number": "281-709-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13810 CHAMPION FOREST DR STE 203",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691875",
"telephone_number": "713-231-6801",
"fax_number": "281-709-6754"
}
],
"practiceLocations": [
{
"address_1": "7011 Southwest Fwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770742007",
"country_code": "US",
"telephone_number": "713-970-7000",
"fax_number": "713-970-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKES",
"first_name": "CATHERINE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174735402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.