Organization Active NPI

Adamantine Psychotherapy and Counseling Services PLLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1619749637
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ADAMANTINE PSYCHOTHERAPY AND COUNSELING SERVICES PLLC
Practice address
9950 Westpark Dr Ste 220
Houston, TX 77063-5190
Phone
(713) 581-4168
NPI assigned
Oct 24, 2023
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Ghytana Williams, LPCNPI 1245915875
Title
Ceo
Phone
(713) 581-4168

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

9950 Westpark Dr Ste 220
Houston, TX 77063-5190

Mailing address

9950 Westpark Dr Ste 220
Houston, TX 77063-5190
Phone (713) 581-4168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115003483 TX Part B Supplier - Clinic/Group Practice 5294269098 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9950 Westpark Dr
Ste 220
Houston, TX 77063
Phone (713) 581-4168

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1619749637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 WESTPARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635190",
            "telephone_number": "713-581-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 WESTPARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635190",
            "telephone_number": "713-581-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMANTINE PSYCHOTHERAPY AND COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GHYTANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-581-4168",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "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 Nov 7, 2024; 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.