Individual provider Active NPI

Kathleen Overmier

  • Social Worker
  • Spring, TX
National Provider Identifier
1730857889
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105072 Issued in TX
Practice address
20008 Champion Forest Dr Ste 601
Spring, TX 77379-8696
Phone
(419) 966-1426
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105072 TX Primary

Addresses

Primary practice location

20008 Champion Forest Dr Ste 601
Spring, TX 77379-8696

Mailing address

15631 Granite Mountain TRL
Houston, TX 77049-1694
Phone (419) 966-1426

Other identifiers 1

IdentifierTypeStateIssuer
105072OtherTXBEHAVIORAL HEALTH EXECUTIVE COUNSEL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mtspringcounseling.com/ Mindful Transformations

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105072TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1730857889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15631 GRANITE MOUNTAIN TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770491694",
            "telephone_number": "419-966-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20008 CHAMPION FOREST DR STE 601",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798696",
            "telephone_number": "419-966-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMIER",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "105072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH EXECUTIVE COUNSEL",
            "identifier": "105072",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mtspringcounseling.com/",
            "affiliation": "Y",
            "affiliationName": "Mindful Transformations",
            "address_1": "20008 Champion Forest Dr Ste 601",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773798696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.