Organization Active NPI

Blue Agave Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Magnolia, TX
National Provider Identifier
1700540382
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BLUE AGAVE COUNSELING, PLLC
Practice address
903 Honea Egypt Rd # a-2
Magnolia, TX 77354-2754
Phone
(346) 457-5655
Fax
(346) 457-5644
NPI assigned
Oct 28, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Meija Schreiner, LPCNPI 1205344611
Title
Owner/Member
Phone
(346) 457-5655

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

903 Honea Egypt Rd # a-2
Magnolia, TX 77354-2754

Mailing address

PO Box 130292
Spring, TX 77393-0292
Phone (346) 457-5655

National Provider Directory

National Provider Directory

Locations

903 Honea Egypt Rd
#A2
Magnolia, TX 77354
Phone (346) 457-5655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1700540382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130292",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773930292",
            "telephone_number": "346-457-5655",
            "fax_number": "346-457-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HONEA EGYPT RD # A-2",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542754",
            "telephone_number": "346-457-5655",
            "fax_number": "346-457-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE AGAVE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "MEIJA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "346-457-5655",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.