NPIMap

Organization Active NPI

Advanced Training Third Coast

  • Mental Health Counselor
  • The Woodlands, TX
National Provider Identifier
1700430899
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ADVANCED TRAINING THIRD COAST
Practice address
1544 Sawdust Rd # 410
The Woodlands, TX 77380-2929
Phone
(713) 492-4131
NPI assigned
Jul 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Authorized official

Name
Dr. Marcia Baker, PHD, LPC , LCDCNPI 1952896110
Title
Owner
Phone
(713) 492-4131

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1544 Sawdust Rd # 410
The Woodlands, TX 77380-2929

Mailing address

50 Eagle CT
Spring, TX 77380-3926
Phone (713) 492-4131

Other identifiers 1

IdentifierTypeStateIssuer
3883092-01MedicaidTX

Other names 1

  • Third Coast Counseling and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1544 Sawdust Rd
#410
The Woodlands, TX 77380
Phone (713) 492-4131

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1700430899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EAGLE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803926",
            "telephone_number": "713-492-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD # 410",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802929",
            "telephone_number": "713-492-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TRAINING THIRD COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-492-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC , LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3883092-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Third Coast Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.