Active NPI
Fresh Start Therapeutic Services LLC
- Community/Behavioral Health Agency
- Houston, TX
National Provider Identifier
1649716432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FRESH START THERAPEUTIC SERVICES LLC
- Practice address
- 5222 FM 1960 Rd W Ste 175
Houston, TX 77069 - Phone
- (832) 705-8681
- NPI assigned
- Jan 17, 2017
- 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
- Teah Pearson
- Title
- Administrator
- Phone
- (832) 705-8681
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5222 FM 1960 Rd W Ste 175
Houston, TX 77069
Mailing address
5206 FM 1960 Rd W Ste 105
Houston, TX 77069-4405
National Provider Directory
National Provider DirectoryLocations
5206 FM 1960 Rd W
Ste 105
Houston, TX 77069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528416000000",
"number": "1649716432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 FM 1960 RD W STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 FM 1960 RD W STE 175",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77069",
"telephone_number": "832-705-8681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESH START THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-17",
"last_updated": "2018-06-08",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "TEAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-705-8681"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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 Jun 8, 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.