Active NPI
Solid Trails Counseling and Consulting PLLC
- Mental Health Counselor
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SOLID TRAILS COUNSELING AND CONSULTING PLLC
- Practice address
- 14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679 - Phone
- (346) 375-7281
- NPI assigned
- Aug 31, 2020
- Last updated
- May 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cedric Ita Eyo, LPC
- Title
- Ceo/ Lead Clinician
- Phone
- (346) 375-7281
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU |
Addresses
Primary practice location
14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679
Mailing address
14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679
Phone (832) 775-6416
Other practice location 1
10500 Fountain Lake Dr Apt 428
Stafford, TX 77477-3749
Phone (832) 775-6416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Sugar Land, TX
- NPI 1508349770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1710590575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14090 SOUTHWEST FWY STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783679",
"telephone_number": "832-775-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14090 SOUTHWEST FWY STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783679",
"telephone_number": "346-375-7281"
}
],
"practiceLocations": [
{
"address_1": "10500 Fountain Lake Dr Apt 428",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "TX",
"postal_code": "774773749",
"country_code": "US",
"telephone_number": "832-775-6416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOLID TRAILS COUNSELING AND CONSULTING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-31",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "EYO",
"authorized_official_first_name": "CEDRIC",
"authorized_official_middle_name": "ITA",
"authorized_official_title_or_position": "CEO/ LEAD CLINICIAN",
"authorized_official_telephone_number": "346-375-7281",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.