Individual provider Active NPI

Kenneth Anicete

  • Mental Health Counselor
  • Stafford, TX
National Provider Identifier
1508750167
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
91574 Issued in TX
Practice address
10707 Corporate Dr Ste 135
Stafford, TX 77477-4090
Phone
(832) 532-0129
NPI assigned
Jun 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 91574 TX Primary

Addresses

Primary practice location

10707 Corporate Dr Ste 135
Stafford, TX 77477-4090

Mailing address

18726 Spring Heather CT
Spring, TX 77379-2780

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

LicenseStateTypeSpecialty
91574TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gratia Plena CurrentSince Jun 8, 2025 Accepting new patients

Locations

10707 Corporate Dr
Ste 135
Stafford, TX 77477
Phone (832) 523-0129

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1508750167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 SPRING HEATHER CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 CORPORATE DR STE 135",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774090",
            "telephone_number": "832-532-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANICETE",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "91574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.