Organization Active NPI

Out Stress, PLLC.

  • Mental Health Counselor
  • Sugar Land, TX
National Provider Identifier
1609535822
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OUT STRESS, PLLC.
Practice address
54 Sugar Creek Center Blvd Ste 203
Sugar Land, TX 77478-4064
Phone
(281) 410-1878
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Mrs. Helen Jimenez, M. ED., LPC, NCCNPI 1669857280
Title
Owner/Psychotherapist
Phone
(281) 410-1878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

54 Sugar Creek Center Blvd Ste 203
Sugar Land, TX 77478-4064

Mailing address

54 Sugar Creek Center Blvd Ste 203
Sugar Land, TX 77478-4064
Phone (281) 410-1878

Other identifiers 1

IdentifierTypeStateIssuer
66692OtherTXLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251003000985 TX Part B Supplier - Clinic/Group Practice 7719483155 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

54 Sugar Creek Center Blvd
Ste 203
Sugar Land, TX 77478
Phone (281) 410-1878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1609535822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUGAR CREEK CENTER BLVD STE 203",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784064",
            "telephone_number": "281-410-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUGAR CREEK CENTER BLVD STE 203",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784064",
            "telephone_number": "281-410-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT STRESS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "281-410-1878",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "66692",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.