Active NPI
Bounce Back Recovery Institute of Texas
- Counseling Psychologist
- Houston, TX
National Provider Identifier
1689312035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- BOUNCE BACK RECOVERY INSTITUTE OF TEXAS
- Practice address
- 5807 Forest Trails Dr Ste R2094
Houston, TX 77084-6733 - Phone
- (832) 883-5127
- NPI assigned
- May 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laqueena Webb
- Title
- Ceo
- Phone
- (832) 632-7205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
5807 Forest Trails Dr Ste R2094
Houston, TX 77084-6733
Mailing address
19214 Clay Rd Ste R2094
Katy, TX 77449-4081
Phone (832) 632-7205
Other names 1
- Nubia Counseling
National Provider Directory
National Provider DirectoryLocations
19214 Clay Rd
Ste R2094
Katy, TX 77449
Phone (832) 632-7205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Houston, TX
- NPI 1457093957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1689312035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19214 CLAY RD STE R2094",
"city": "KATY",
"state": "TX",
"postal_code": "774494081",
"telephone_number": "832-632-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5807 FOREST TRAILS DR STE R2094",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770846733",
"telephone_number": "832-883-5127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUNCE BACK RECOVERY INSTITUTE OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-25",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "LAQUEENA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "832-632-7205"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nubia Counseling",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.