Individual provider Active NPI

Remona L Clark, LPC, NCC

  • School Counselor
  • Fulshear, TX
National Provider Identifier
1598055832
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
TX SCHOOL COUNSELOR Issued in TX
Practice address
27914 Burnett Hills LN
Fulshear, TX 77441-1501
Phone
(832) 247-0258
NPI assigned
Apr 7, 2011
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61028 TX
School Counselor 101YS0200X TX SCHOOL COUNSELOR TX Primary

Addresses

Primary practice location

27914 Burnett Hills LN
Fulshear, TX 77441-1501

Mailing address

27914 Burnett Hills LN
Fulshear, TX 77441-1501
Phone (832) 247-0258

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

State licenses

LicenseStateTypeSpecialty
TX SCHOOL COUNSELORTXMDSchool Counselor
61028TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Muro Mental Health, PLLC Professional CurrentSince May 1, 2024 Accepting new patients

Locations

21230 Kingsland Blvd
Ste 300
Katy, TX 77450
Phone (281) 984-3494

25145 Star Ln
Ste 303
Katy, TX 77494
Phone (281) 868-8900

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1598055832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27914 BURNETT HILLS LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411501",
            "telephone_number": "832-247-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27914 BURNETT HILLS LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411501",
            "telephone_number": "832-247-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "REMONA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61028",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "TX SCHOOL COUNSELOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

Verify at the official NPI Registry.