Individual provider Active NPI

Anggie Paola Pedraza-Watson

  • Mental Health Counselor
  • Tomball, TX
National Provider Identifier
1619569902
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82393 Issued in TX
Practice address
25510 Tomball Pkwy
Tomball, TX 77375-7730
Phone
(713) 306-7061
NPI assigned
Feb 8, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 82393 TX Primary

Addresses

Primary practice location

25510 Tomball Pkwy
Tomball, TX 77375-7730

Mailing address

11303 Golden Ray Dr
Cypress, TX 77429-3092
Phone (760) 547-4659

Other practice location 1

633 E Fernhurst Dr Ste 203
Katy, TX 77450-1586
Phone (346) 800-7601

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

LicenseStateTypeSpecialty
82393TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ori Hope Counseling PLLC Mental Health Current Accepting new patients
District Counseling PLLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1619569902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 GOLDEN RAY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293092",
            "telephone_number": "760-547-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25510 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757730",
            "telephone_number": "713-306-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 E Fernhurst Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774501586",
            "country_code": "US",
            "telephone_number": "346-800-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRAZA-WATSON",
        "first_name": "ANGGIE",
        "middle_name": "PAOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.