Individual provider Active NPI

Kenyatta Sadiki, LCDC, CART

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1689497109
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14393 Issued in TX
Practice address
7322 Southwest Fwy Ste 1136
Houston, TX 77074-2066
Phone
(713) 679-0219
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 14393 TX Primary
Counselor 101Y00000X

Addresses

Primary practice location

7322 Southwest Fwy Ste 1136
Houston, TX 77074-2066

Mailing address

7322 Southwest Fwy Ste 1136
Houston, TX 77074-2066
Phone (713) 679-0219

Other practice location 1

8330 Lbj Fwy Ste 617
Dallas, TX 75243-1308
Phone (713) 679-0219

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14393TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1689497109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 1136",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742066",
            "telephone_number": "713-679-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 1136",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742066",
            "telephone_number": "713-679-0219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8330 Lbj Fwy Ste 617",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431308",
            "country_code": "US",
            "telephone_number": "713-679-0219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADIKI",
        "first_name": "KENYATTA",
        "credential": "LCDC, CART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14393",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 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.