Active NPI
Robin Elaine Charlesworth, MA, LPA
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1740405091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12110
- Practice address
- 10609 Grant Rd BLDG B
Houston, TX 77070-4462 - Phone
- (281) 469-6395
- NPI assigned
- Apr 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12110 | TX | |
| Mental Health Counselor | 101YM0800X | 12110 | TX | Primary |
Addresses
Primary practice location
10609 Grant Rd BLDG B
Houston, TX 77070-4462
Mailing address
11407 Hylander Dr
Houston, TX 77070-1339
Phone (281) 469-6395
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12110 | TX | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willowbrook Psychological Associates, PC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1740405091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11407 HYLANDER DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701339",
"telephone_number": "281-469-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10609 GRANT RD BLDG B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704462",
"telephone_number": "281-469-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLESWORTH",
"first_name": "ROBIN",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "MA, LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "12110",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12110",
"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 Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.