Active NPI
Theresa Coulehan, MA, LPC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1740652114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70168
- Practice address
- 1415 North Loop W
Ste. 1010
Houston, TX 77008-1664 - Phone
- (281) 948-5110
- NPI assigned
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 70168 | TX | |
| Mental Health Counselor | 101YM0800X | 70168 | TX | Primary |
Addresses
Primary practice location
1415 North Loop W
Ste. 1010
Houston, TX 77008-1664
Mailing address
13310 Bridgewalk LN
Houston, TX 77041-5888
Phone (281) 948-5110
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 |
|---|---|---|---|
| 70168 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1740652114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13310 BRIDGEWALK LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770415888",
"telephone_number": "281-948-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 NORTH LOOP W",
"address_2": "STE. 1010",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081664",
"telephone_number": "281-948-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULEHAN",
"first_name": "THERESA",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "70168",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "70168",
"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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.