Active NPI
Irene Pena
- Professional Counselor
- The Woodlands, TX
National Provider Identifier
1588433817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 89568
- Practice address
- 1201 Lake Woodlands Dr Ste 4009
The Woodlands, TX 77380-5000 - Phone
- (855) 284-7483
- Fax
- (617) 807-0958
- NPI assigned
- Dec 28, 2023
- Last updated
- Dec 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 89568 | TX | Primary |
Addresses
Primary practice location
1201 Lake Woodlands Dr Ste 4009
The Woodlands, TX 77380-5000
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89568 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
1201 Lake Woodlands Dr
Ste 4009
The Woodlands, TX 77380
Phone (281) 357-9937
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1588433817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LAKE WOODLANDS DR STE 4009",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773805000",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-28",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "89568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.