Organization Active NPI

Agape Healing and Wellness Center PLLC

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1497481972
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
AGAPE HEALING AND WELLNESS CENTER PLLC
Practice address
13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone
(919) 807-1692
Fax
(833) 980-1022
NPI assigned
Jul 27, 2022
Organization subpart
Yes
Parent organization
AGAPE HEALING AND WELLNESS CENTER, PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Darnita Samuels, LMFTNPI 1356796809
Title
Owner/Psychotherapist
Phone
(919) 807-1692

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Agape Healing and Wellness Center PLLC (2 organizations share this tax ID)
Part of
Agape Healing and Wellness Center PLLC

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883

Mailing address

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone (919) 807-1692

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1161069150003OtherTXINSURANCE

Other names 1

NPPES NPI Registry
  • Agape Healing and Wellness Center PLLC Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL darnita@agapehealingandwellness.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2023.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1497481972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691883",
            "telephone_number": "919-807-1692",
            "fax_number": "833-980-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691883",
            "telephone_number": "919-807-1692",
            "fax_number": "833-980-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEALING AND WELLNESS CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE HEALING AND WELLNESS CENTER, PLLC",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "DARNITA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-807-1692",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1161069150003",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "darnita@agapehealingandwellness.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13810 Champion Forest Dr Ste 150",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770691883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Agape Healing and Wellness Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agape Healing and Wellness Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2023; 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.