Active NPI
Thelma R. Ellen, PHD
- Professional Counselor
- Houston, TX
National Provider Identifier
1497813786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1224
- Practice address
- 8303 Southwest Fwy
Suite 260
Houston, TX 77074-1600 - Phone
- (713) 541-3730
- NPI assigned
- Dec 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1224 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 01859 | TX | |
| Marriage & Family Therapist | 106H00000X | 003480-034597 | TX |
Addresses
Primary practice location
8303 Southwest Fwy
Suite 260
Houston, TX 77074-1600
Mailing address
7815 Candlegreen LN
Houston, TX 77071-2708
Phone (713) 541-3730
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01859 | TX | MD | Clinical Social Worker |
| 003480-034597 | TX | MD | Marriage & Family Therapist |
| 1224 | TX | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1497813786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 CANDLEGREEN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770712708",
"telephone_number": "713-541-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 SOUTHWEST FWY",
"address_2": "SUITE 260",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741600",
"telephone_number": "713-541-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEN",
"first_name": "THELMA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "1224",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "01859",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "003480-034597",
"primary": false
}
],
"identifiers": [],
"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 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.