Individual provider Active NPI

Carolyn M Durham, LPC

  • Professional Counselor
  • Baytown, TX
National Provider Identifier
1659926004
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11094 Issued in TX
Practice address
3818 Decker Dr
Baytown, TX 77520-1662
Phone
(281) 424-7557
Fax
(281) 424-7567
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11094 TX Primary

Addresses

Primary practice location

3818 Decker Dr
Baytown, TX 77520-1662

Mailing address

3818 Decker Dr
Baytown, TX 77520-1662
Phone (281) 424-7557

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240222003756 TX Practitioner - Mental Health Counselor 7113361643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

12234 Shadow Creek Pkwy
Suite 106
Pearland, TX 77584-7330
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cabatherapy Services CurrentSince Jan 1, 2024 Accepting new patients
The Resilience Center of Houston, LLC Professional CurrentSince Jan 1, 2025 Accepting new patients
Caba Therapy Services PastSince Oct 22, 2023 Accepting new patients

Locations

3818 Decker Dr
Baytown, TX 77520

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

605 W Clayton St
Ste H
Dayton, TX 77535
Phone (832) 307-7966

9855 Eagle Dr
Ste 170
Mont Belvieu, TX 77523
Phone (832) 307-7966

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1659926004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201662",
            "telephone_number": "281-424-7557",
            "fax_number": "281-424-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201662",
            "telephone_number": "281-424-7557",
            "fax_number": "281-424-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.