Active NPI
Patrice Mercyne Houston, MA, LPC-S, LCDC
- Professional Counselor
- Houston, TX
National Provider Identifier
1629558929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19665
- Practice address
- 16821 Buccaneer LN Ste 119
Houston, TX 77058-2512 - Phone
- (281) 630-4825
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7688 | TX | |
| Professional Counselor | 101YP2500X | 19665 | TX | Primary |
Addresses
Primary practice location
16821 Buccaneer LN Ste 119
Houston, TX 77058-2512
Mailing address
PO Box 58084
Webster, TX 77598-8084
Other names 1
- Ms. Patrice Mercyne Phillips
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7688 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Flight | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1629558929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58084",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775988084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16821 BUCCANEER LN STE 119",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582512",
"telephone_number": "281-630-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "PATRICE",
"middle_name": "MERCYNE",
"name_prefix": "Mrs.",
"credential": "MA, LPC-S, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "7688",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICE",
"last_name": "PHILLIPS",
"middle_name": "MERCYNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
- Huelon Houston
- Isabella Marie Houston, MS, RD, LD
- Kheliyah Janae Houston
- Meagan Nicole Houston, PH.D.
- Nicole Fisette Houston, RPH
- Quateshia Monique Houston
- Raven Houston, PA-C
- Yee-Ming Pandora Houston, MD
- Houston,Total Orthopedics P.a (Allied Orthopedic & Hand P A)
- Houston's Amazing Place (Amazing Place)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.