Active NPI
Masterlife Counseling
- Professional Counselor
- Bellaire, TX
National Provider Identifier
1538794334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MASTERLIFE COUNSELING
- Practice address
- 6575 West Loop S Ste 500
Bellaire, TX 77401-3509 - Phone
- (832) 377-0276
- NPI assigned
- Mar 12, 2020
- Last updated
- Mar 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melanie Petaway, LPC
- Title
- Owner
- Phone
- (713) 419-5159
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6575 West Loop S Ste 500
Bellaire, TX 77401-3509
Mailing address
12930 Chrysanthemum Dr
Houston, TX 77085-3390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215577374 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | masterlifecounseling@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Houston, TX
- NPI 1215577374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583971200000",
"number": "1538794334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12930 CHRYSANTHEMUM DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770853390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6575 WEST LOOP S STE 500",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013509",
"telephone_number": "832-377-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTERLIFE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A",
"authorized_official_last_name": "PETAWAY",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-419-5159",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215577374",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "masterlifecounseling@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6575 West Loop S Ste 500",
"city": "Bellaire",
"state": "TX",
"country_code": "US",
"postal_code": "774013509",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.