Individual provider Active NPI

Marie Delize Ortiz-Emmanuelli, PSY.D., LPC

  • Professional Counselor
  • The Woodlands, TX
National Provider Identifier
1538149547
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89452 Issued in TX
Practice address
2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2578 PR
Professional Counselor 101YP2500X 89452 TX Primary

Addresses

Primary practice location

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162

Mailing address

2 Maple Branch St
The Woodlands, TX 77380-1887
Phone (787) 404-7968

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
I20260213002527 TX Practitioner - Mental Health Counselor 1355355603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

2103 Research Forest Dr
Suite 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89452TXMDProfessional Counselor
2578PRMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Professional CurrentSince Feb 3, 2026 Accepting new patients

Locations

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

2103 Research Forest Dr
Ste 175
The Woodlands, TX 77380

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1538149547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAPLE BRANCH ST",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801887",
            "telephone_number": "787-404-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 RESEARCH FOREST DR STE 175",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804162",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-EMMANUELLI",
        "first_name": "MARIE",
        "middle_name": "DELIZE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2578",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.