Carlos Rene Calderon, LPC, S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

17675 Issued in TX

Practice address

25227 Grogans Mill Rd # 205
The Woodlands, TX 77380-2951

Phone

(281) 419-2323

Fax

(281) 419-0744

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Associates International

  • Mental Health Counselor
  • The Woodlands, TX
  • NPI 1043229826
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1689680506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25227 GROGANS MILL RD # 205",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802951",
            "telephone_number": "281-419-2323",
            "fax_number": "281-419-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25227 GROGANS MILL RD # 205",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802951",
            "telephone_number": "281-419-2323",
            "fax_number": "281-419-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "CARLOS",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "credential": "LPC, S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "17675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne S Cagle
• Shirley Jean Cagle, DDS
• Jeffrey Ronald Cain, PT, DPT
• Jennifer J. Cain, L.P.C.
• Jose Antonio Cala Noriega, MD
• Kimberly Ann Calderon, LMT
• Luis E Calderon
• Bridget Kiley Caletka, LPC
• Jade Marie Calhoun
• Jamie Calvin

• Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.