Active NPI
Cultivating Changesa, LLC
- Group Psychotherapy Psychologist
- Houston, TX
National Provider Identifier
1629817804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- CULTIVATING CHANGESA, LLC
- Practice address
- 1335 Regents Park Dr Ste 130
Houston, TX 77058-2541 - Phone
- (281) 810-3613
- NPI assigned
- May 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Renee Rodriguez, LCSW-S
- Title
- Psychotherapist
- Phone
- (832) 226-7867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | Primary |
Addresses
Primary practice location
1335 Regents Park Dr Ste 130
Houston, TX 77058-2541
Mailing address
1335 Regents Park Dr Ste 130
Houston, TX 77058-2541
Phone (281) 810-3613
Other practice location 1
633 E Fernhurst Dr Ste 501
Katy, TX 77450-1589
Phone (281) 810-3613
National Provider Directory
National Provider DirectoryLocations
1335 Regents Park Dr
Ste 130
Houston, TX 77058
Phone (281) 810-3613
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Houston, TX
- NPI 1407228893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1629817804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 REGENTS PARK DR STE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582541",
"telephone_number": "281-810-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 REGENTS PARK DR STE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582541",
"telephone_number": "281-810-3613"
}
],
"practiceLocations": [
{
"address_1": "633 E Fernhurst Dr Ste 501",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774501589",
"country_code": "US",
"telephone_number": "281-810-3613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CULTIVATING CHANGESA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "832-226-7867",
"authorized_official_credential": "LCSW-S"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"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 May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.