Individual provider Active NPI

Kenya Natasha Fance

  • Professional Counselor
  • Missouri City, TX
National Provider Identifier
1528820214
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88781 Issued in TX
Practice address
4855 Riverstone Blvd Ste 102
Missouri City, TX 77459-4378
Phone
(832) 669-9621
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88781 TX Primary

Addresses

Primary practice location

4855 Riverstone Blvd Ste 102
Missouri City, TX 77459-4378

Mailing address

7130 Ensworth Dr
Houston, TX 77016-2308
Phone (832) 217-4045

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
I20240720000080 TX Practitioner - Mental Health Counselor 4688110182 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Aug 28, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Aug 28, 2025 Accepting new patients

Locations

353 N Castlegory Rd
Houston, TX 77049
Phone (713) 726-6107

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 3

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1528820214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 ENSWORTH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770162308",
            "telephone_number": "832-217-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVERSTONE BLVD STE 102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594378",
            "telephone_number": "832-669-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCE",
        "first_name": "KENYA",
        "middle_name": "NATASHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.