Individual provider Active NPI

Naomi Leigh Timm, LPC-INTERN

  • Counselor
  • Conroe, TX
National Provider Identifier
1558771295
Registry record updated May 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
401 N Loop 336 W
Suite C
Conroe, TX 77301-1200
Phone
(713) 878-8500
Fax
(936) 242-6254
NPI assigned
May 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

401 N Loop 336 W
Suite C
Conroe, TX 77301-1200

Mailing address

24006 Thistlegate CT
Spring, TX 77373-7382
Phone (713) 878-8500

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399075200000",
    "number": "1558771295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24006 THISTLEGATE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737382",
            "telephone_number": "713-878-8500",
            "fax_number": "936-242-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N LOOP 336 W",
            "address_2": "SUITE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011200",
            "telephone_number": "713-878-8500",
            "fax_number": "936-242-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "NAOMI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-03",
        "last_updated": "2014-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.