Organization Active NPI

Cultivating Changesa, LLC

  • Group Psychotherapy Psychologist
  • Houston, TX
National Provider Identifier
1629817804
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
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

Updated by the provider on May 20, 2024

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)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.