Organization Active NPI

Expand Life Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
National Provider Identifier
1619572500
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXPAND LIFE COUNSELING PLLC
Practice address
627 W 19TH St Ste 201
Houston, TX 77008-3658
Phone
(713) 268-0979
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Jasandra Lourdes Oeffinger, LPC-SUPERVISORNPI 1104272699
Title
Therapist and Owner
Phone
(713) 268-0979

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

627 W 19TH St Ste 201
Houston, TX 77008-3658

Mailing address

6102 Autumn Forest Dr
Houston, TX 77092-2312
Phone (713) 254-6873

National Provider Directory

National Provider Directory

Locations

629 W 19th St
Ste 202
Houston, TX 77008

627 W 19th St
Ste 201
Houston, TX 77008
Phone (713) 268-0979

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": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1619572500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 AUTUMN FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922312",
            "telephone_number": "713-254-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W 19TH ST STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083658",
            "telephone_number": "713-268-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPAND LIFE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "OEFFINGER",
        "authorized_official_first_name": "JASANDRA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "713-268-0979",
        "authorized_official_credential": "LPC-SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.