Organization Active NPI

Kingdom Counseling Center

  • Social Worker
  • Houston, TX
National Provider Identifier
1730848060
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KINGDOM COUNSELING CENTER
Practice address
12655 Woodforest Blvd Ste 420
Houston, TX 77015-3573
Phone
(281) 883-2725
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Sherita Heads
Title
Billing Manager
Phone
(346) 401-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

12655 Woodforest Blvd Ste 420
Houston, TX 77015-3573

Mailing address

12655 Woodforest Blvd Ste 420
Houston, TX 77015-3573

National Provider Directory

National Provider Directory

Locations

12655 Woodforest Blvd
Ste 420
Houston, TX 77015
Phone (281) 883-2725

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1730848060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 WOODFOREST BLVD STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 WOODFOREST BLVD STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153573",
            "telephone_number": "281-883-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "HEADS",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "346-401-2408"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.