Organization Active NPI

Duckland Homes LLC

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1639713738
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DUCKLAND HOMES LLC
Practice address
1906 Driver Green LN
Katy, TX 77493-2340
Phone
(248) 842-2852
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Regina Oghenetega Ottan-Obi
Title
Ceo
Phone
(248) 842-2852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1906 Driver Green LN
Katy, TX 77493-2340

Mailing address

1906 Driver Green LN
Katy, TX 77493-2340
Phone (248) 842-2852

Other identifiers 1

IdentifierTypeStateIssuer
10812201100001OtherTXAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1639713738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 DRIVER GREEN LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932340",
            "telephone_number": "248-842-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 DRIVER GREEN LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932340",
            "telephone_number": "248-842-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCKLAND HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "OTTAN-OBI",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "OGHENETEGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-842-2852"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10812201100001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.