Integrative Psychotherapy Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTEGRATIVE PSYCHOTHERAPY CENTER, LLC

Practice address

1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492

Phone

(713) 440-8513

Fax

(281) 359-7182

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Nunn, LCSW

Title

Owner/Director

Phone

(713) 806-5675

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Suzanne Brown, LCSW

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1700108958
  NPD
• Lisa V Cano, LCSW

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1972524379
  NPD
• Pamela Fulton Salaam, LCSW

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1528140753
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1679291017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 HAMPTON HILLS DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773386450",
            "telephone_number": "713-806-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 STONEHOLLOW DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392492",
            "telephone_number": "713-440-8513",
            "fax_number": "281-359-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOTHERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "713-806-5675",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Ilacqua, MA, LPC
• Muzna Atif Ilyas, M.D.
• Jad Imad
• Infectious Disease Associates of Greater Houston LLC
• Inspiring Hope Center for Counseling and Play Therapy LLC
• Integrity Anesthesia, P.a.
• Saad Iqbal, MD
• Umema Irfan
• Salman Islam, DO
• Carrie Istre, COMS, CTVI

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.