Mirasol Kingery Whitbey, MS, NCC, LP-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

90677 Issued in TX

Practice address

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883

Phone

(346) 837-4669

NPI assigned

Dec 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Connecting With You,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1477322360
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Mental Break Counseling Services PLLC

  • Mental Health Counselor
  • Spring, TX
  • NPI 1194594853

  Professional

  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1629846985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19502 SANDY STREAM CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691883",
            "telephone_number": "346-837-4669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21206 Telge Rd",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773776183",
            "country_code": "US",
            "telephone_number": "713-306-7061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITBEY",
        "first_name": "MIRASOL",
        "middle_name": "KINGERY",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Whitaker
• Jennifer Anne Whitaker, M.D.
• Kelli K Whitaker, PA
• Rashaunda West Whitaker, APRN
• Tynashia Deyona Whitaker, SLP-ASSISTANT
• Crystal Whitby, PA
• White Coat Medical Laboratories Limited Liability Company
• White Heart Pharmacy Inc
• White Heart Pharmacy Inc LTC
• White House Health Systems of Texas

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.