Individual provider Active NPI

Raymond C Chukwuma, MS, LPC, NCC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1508578436
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88961 Issued in TX
Practice address
9432 Katy Fwy Ste 460
Houston, TX 77055-6349
Phone
(832) 780-4716
NPI assigned
Dec 22, 2022
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88961 TX
Professional Counselor 101YP2500X 88961 TX Primary

Addresses

Primary practice location

9432 Katy Fwy Ste 460
Houston, TX 77055-6349

Mailing address

4407 Mesa Crossing LN
Sugar Land, TX 77479-5437
Phone (713) 922-3653

Other practice location 1

4407 Mesa Crossing Ln
Sugar Land, TX 77479-5437
Phone (713) 922-3653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308003643 TX Practitioner - Mental Health Counselor 1153767488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind and Brain, PCGroup PAC ID 6507295441, 6 clinicians

Practice addresses (Care Compare)

9432 Katy Fwy
Houston, TX 77055-6349
Phone (832) 699-7922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Brain, PC CurrentSince Jan 28, 2024 Accepting new patients

Locations

9432 Katy Fwy
Ste 400
Houston, TX 77055
Phone (832) 563-5694

9432 Katy Fwy
Ste 460
Houston, TX 77055
Phone (832) 699-7922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1508578436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MESA CROSSING LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795437",
            "telephone_number": "713-922-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 KATY FWY STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556349",
            "telephone_number": "832-780-4716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 Mesa Crossing Ln",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774795437",
            "country_code": "US",
            "telephone_number": "713-922-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUMA",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88961",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.