Active NPI
Vanavia Naomi Richardson, MBA
- Professional Counselor
- Bellaire, TX
National Provider Identifier
1548549173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13315
- Practice address
- 5202 Cedar St
Bellaire, TX 77401-3915 - Phone
- (832) 775-5203
- Fax
- (713) 431-4524
- NPI assigned
- Aug 13, 2011
- Last updated
- Aug 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13315 | TX | Primary |
Addresses
Primary practice location
5202 Cedar St
Bellaire, TX 77401-3915
Mailing address
9701 Forum Park Dr
Ste 920
Houston, TX 77036-8238
Phone (832) 775-5203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189407301 | Medicaid | TX |
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13315 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Case Management | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Case Management Agency
- Bellaire, TX
- NPI 1801143953
-
dba Prosperity Behavioral Care
- Home Health Agency
- Houston, TX
- NPI 1053616235
-
- Health Maintenance Organization
- Houston, TX
- NPI 1124328737
-
dba Prosperity Behavioral
- Professional Counselor
- Houston, TX
- NPI 1710196233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313193600000",
"number": "1548549173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 FORUM PARK DR",
"address_2": "STE 920",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368238",
"telephone_number": "832-775-5203",
"fax_number": "713-431-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 CEDAR ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013915",
"telephone_number": "832-775-5203",
"fax_number": "713-431-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "VANAVIA",
"middle_name": "NAOMI",
"credential": "MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-13",
"last_updated": "2011-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189407301",
"state": "TX"
}
],
"endpoints": [],
"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 Aug 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.