Active NPI
Cristian Mateo Amador, MA
- Professional Counselor
- Pearland, TX
National Provider Identifier
1699439703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87308
- Practice address
- 2743 Smith Ranch Rd Ste 801
Pearland, TX 77584-5204 - Phone
- (210) 693-0943
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 87308 | TX | Primary |
Addresses
Primary practice location
2743 Smith Ranch Rd Ste 801
Pearland, TX 77584-5204
Mailing address
2106 Camdon Dr
Deer Park, TX 77536-4260
Phone (281) 777-6579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2743 Smith Ranch Rd
Suite 801
Pearland, TX 77584-5220
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87308 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
2743 Smith Ranch Rd
Ste 801
Pearland, TX 77584
Phone (210) 693-0943
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1699439703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 CAMDON DR",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775364260",
"telephone_number": "281-777-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2743 SMITH RANCH RD STE 801",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775845204",
"telephone_number": "210-693-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "CRISTIAN",
"middle_name": "MATEO",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.