Individual provider Active NPI

Theophilus A Natter, PSYCHOTHERAPIST

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1740423540
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3031 Issued in TX
Practice address
350 N Sam Houston Pkwy E Ste B285
Houston, TX 77060-3315
Phone
(281) 809-5069
Fax
(832) 328-8715
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 3031 TX
Marriage & Family Therapist 106H00000X 3031 TX
Counselor 101Y00000X 3031 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 4770 TX
Mental Health Counselor 101YM0800X 3031 TX
Pastoral Counselor 101YP1600X 3031 TX
Professional Counselor 101YP2500X 3031 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 3031 TX Primary

Addresses

Primary practice location

350 N Sam Houston Pkwy E Ste B285
Houston, TX 77060-3315

Mailing address

350 N Sam Houston Pkwy E Ste B285
Houston, TX 77060-3315
Phone (281) 809-5069

Other identifiers 3

IdentifierTypeStateIssuer
164290201MedicaidTX
178391201MedicaidTX
178392001MedicaidTX

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
3031TXMDAddiction (Substance Use Disorder) Counselor
4770TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
New Lite Counseling Center Inc. Addiction (Substance Use Disorder) CurrentSince Sep 13, 2020 Accepting new patients
New Lite Counseling Center Marriage & Family Therapist Current Accepting new patients

Locations

350 N Sam Houston Pkwy E
Ste B285
Houston, TX 77060
Phone (713) 885-8365

4625 North Fwy
Ste 115
Houston, TX 77022

Organizations & group practices 2

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1740423540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N SAM HOUSTON PKWY E STE B285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603315",
            "telephone_number": "281-809-5069",
            "fax_number": "832-328-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N SAM HOUSTON PKWY E STE B285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603315",
            "telephone_number": "281-809-5069",
            "fax_number": "832-328-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATTER",
        "first_name": "THEOPHILUS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PSYCHOTHERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "3031",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3031",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "3031",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "4770",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "3031",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "3031",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "3031",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164290201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178391201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178392001",
            "state": "TX"
        }
    ],
    "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 Feb 1, 2022; 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.