Progressive Behavioral Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PROGRESSIVE BEHAVIORAL HEALTH, PLLC

Doing business as

LifeStance Health

Practice address

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989

Phone

(844) 824-8775

Fax

(281) 648-2200

NPI assigned

Sep 18, 2007

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Pardo

Title

Chief Legal Officer

Phone

(206) 399-1493

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• LifeStance Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations (25 of 37)

Practitioners 622

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julieta Acuna, LPC

  • Professional Counselor
  • San Marcos, TX
  • NPI 1528753324
  Medicare reassignment Care Compare group NPD
• Oluwaferanmi Joanah Afolabi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1881011385

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sumaira Ahmed, M.D.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1043247687
  Medicare reassignment Care Compare group NPD
• Mary Temitope Ajayi

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamo Heights, TX
  • NPI 1861971897
  Medicare reassignment Care Compare group NPD
• Sandra Y Alaniz, LPC

  • Professional Counselor
  • Alamo Heights, TX
  • NPI 1316378086

  Mental Health

  Medicare reassignment Care Compare group NPD
• Aju Varghese Alex, PMNHP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Marcos, TX
  • NPI 1215490693
  Medicare reassignment Care Compare group NPD
• Claire Paula Alfaro

  • Professional Counselor
  • San Antonio, TX
  • NPI 1205493426
  Medicare reassignment Care Compare group NPD
• Omar Ali

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1699235952
  Medicare reassignment Care Compare group NPD
• Elon M Allen

  • Professional Counselor
  • Killeen, TX
  • NPI 1427481142
  Medicare reassignment Care Compare group NPD
• Kiandris Allen

  • Professional Counselor
  • Houston, TX
  • NPI 1598316101
  Medicare reassignment Care Compare group NPD
• Amanda Almendarez, LPC

  • Professional Counselor
  • Corpus Christi, TX
  • NPI 1396411674

  Mental Health

  Medicare reassignment Care Compare group NPD
• Shondreka Amos

  • Professional Counselor
  • Houston, TX
  • NPI 1063638377

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1659567238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114720-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Pratt
• Premium Care Texas LLC (Always Best Care Senior services, Friendswood/League City)
• Jessica Price, P.T., DPT
• Michael Roland Prioux, D.C.
• Probook Advisors LLC
• Progressive Womens Health
• Promedic Ancillary Services LLC
• Jillian Faith Puig, MSN, APRN, FNP-C
• Michael Purvis, H.I.S.
• Qoc, LLC

• Mental Health Counselor in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.