Active NPI
Justin Glenn Bond, NCC, LPC-A
- Professional Counselor
- Sugar Land, TX
National Provider Identifier
1679173819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82757
- Practice address
- 101 Southwestern Blvd
Sugar Land, TX 77478-3668 - Phone
- (281) 903-5353
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 82757 | TX | Primary |
Addresses
Primary practice location
101 Southwestern Blvd
Sugar Land, TX 77478-3668
Mailing address
411 Iris Rose CT
Rosenberg, TX 77469-1825
Phone (281) 795-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 4, 2025 through Jul 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82757 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1679173819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 IRIS ROSE CT",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774691825",
"telephone_number": "281-795-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783668",
"telephone_number": "281-903-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "JUSTIN",
"middle_name": "GLENN",
"credential": "NCC, LPC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.