Active NPI
Mark Apollo Raymond, LPC
- Professional Counselor
- Kingwood, TX
National Provider Identifier
1487964292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66416
- Practice address
- 526 Kingwood Dr # 231
Kingwood, TX 77339-4473 - Phone
- (210) 385-1897
- NPI assigned
- Oct 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 66416 | TX | Primary |
Addresses
Primary practice location
526 Kingwood Dr # 231
Kingwood, TX 77339-4473
Mailing address
526 Kingwood Dr # 231
Kingwood, TX 77339-4473
Phone (210) 385-1897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66416 | Other | TX | TEXAS STATE BOARD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66416 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1487964292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 KINGWOOD DR # 231",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773394473",
"telephone_number": "210-385-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 KINGWOOD DR # 231",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773394473",
"telephone_number": "210-385-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "MARK",
"middle_name": "APOLLO",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD",
"identifier": "66416",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.