Individual provider Active NPI

Luis Enrique Vides, ED. D, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1659838878
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77377 Issued in TX
Practice address
12631 Winding Manor Dr
Houston, TX 77044-6025
Phone
(832) 758-4992
NPI assigned
Feb 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 77377 TX Primary

Addresses

Primary practice location

12631 Winding Manor Dr
Houston, TX 77044-6025

Mailing address

12631 Winding Manor Dr
Houston, TX 77044-6025
Phone (832) 758-4992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 1St St W
Suite 201
Humble, TX 77338-3601

12631 Winding Manor Dr
Houston, TX 77044-6025

23500 Millbrook Dr
New Caney, TX 77357-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
77377TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1659838878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 WINDING MANOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770446025",
            "telephone_number": "832-758-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 WINDING MANOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770446025",
            "telephone_number": "832-758-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDES",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "ED. D, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-24",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.