Active NPI
Kathleen Overmier
- Social Worker
- Spring, TX
National Provider Identifier
1730857889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105072 | Other | TX | BEHAVIORAL HEALTH EXECUTIVE COUNSEL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 105072 | TX | MD | Speech-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.