Individual provider Active NPI

Mariana Adame

  • Mental Health Counselor
  • Kingwood, TX
National Provider Identifier
1558069286
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85979 Issued in TX
Practice address
1525 Lakeville Dr Ste 112
Kingwood, TX 77339-2068
Phone
(832) 543-3002
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 85979 TX Primary
Professional Counselor 101YP2500X 85979 TX

Addresses

Primary practice location

1525 Lakeville Dr Ste 112
Kingwood, TX 77339-2068

Mailing address

1525 Lakeville Dr Ste 112
Kingwood, TX 77339-2068
Phone (832) 543-3002

Other practice location 1

3748 US Highway 59 N
Livingston, TX 77351-8981
Phone (936) 259-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring Counseling & Wellness LLC Mental Health CurrentSince Feb 26, 2023 Accepting new patients

Locations

1525 Lakeville Dr
Ste 112
Kingwood, TX 77339
Phone (832) 543-3002

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1558069286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LAKEVILLE DR STE 112",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392068",
            "telephone_number": "832-543-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LAKEVILLE DR STE 112",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392068",
            "telephone_number": "832-543-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3748 US Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773518981",
            "country_code": "US",
            "telephone_number": "936-259-2119",
            "fax_number": "936-286-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAME",
        "first_name": "MARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-11-19",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85979",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.