Kingwood Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

37447 Issued in TX

Legal business name

KINGWOOD COUNSELING CENTER

Practice address

1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044

Phone

(281) 608-1346

Fax

(832) 436-1648

NPI assigned

Dec 31, 2018

Last updated

Apr 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sydney Gayle Adams, LCSW

Title

Owner

Phone

(281) 608-1346

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Kingwood Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sydney Adams Dba Kingwood Counseling Center

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1891205456
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Rosalez, LCSW

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1356892038
  NPD (past)
• Susette Marie Villegas, LCSW

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1245659572
  NPD (past)

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1740752781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3411 Cedar Knolls Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392474",
            "country_code": "US",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGWOOD COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-608-1346",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17881",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210925805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sang Eun Kim, L. AC.
• Kimberly Boyd Counseling Center, LLC
• William Austin Kimbrough Sr., DDS MS
• King Ranch Emergency Physicians, PLLC
• Kingwood Chiropractic Clinic
• Kingwood Counseling Center PLLC
• Kingwood Dental Specialists PC (Greater Houston Dental Specialists)
• Kingwood Direct MD LLC
• Kingwood Drive Emergency Center, LLC (Neighbors Emergency Center)
• Kingwood Drive Emergency Center, LLC

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.