NPIMap

Organization Active NPI

Friendswood Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Friendswood, TX
National Provider Identifier
1780937722
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
66163 Issued in TX
Legal business name
FRIENDSWOOD COUNSELING CENTER, LLC
Practice address
3526 E FM 528 Rd
Suite 208
Friendswood, TX 77546-5014
Phone
(479) 200-6034
Fax
(281) 819-7845
NPI assigned
Oct 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Kristi Ottis, MS, NCC, LPCNPI 1083730527
Title
Clinical Therapist
Phone
(479) 200-6034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 66163 TX Primary

Addresses

Primary practice location

3526 E FM 528 Rd
Suite 208
Friendswood, TX 77546-5014

Mailing address

3526 E FM 528 Rd
Suite 208
Friendswood, TX 77546-5014
Phone (479) 200-6034

Other identifiers 1

IdentifierTypeStateIssuer
TPI-216419601MedicaidTX

National Provider Directory

National Provider Directory

Locations

3526 E FM 528 Rd
Ste 208
Friendswood, TX 77546
Phone (479) 200-6034

3526 E FM 528 Rd
Ste 207
Friendswood, TX 77546
Phone (281) 819-7004

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1780937722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 E FM 528 RD",
            "address_2": "SUITE 208",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465014",
            "telephone_number": "479-200-6034",
            "fax_number": "281-819-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 E FM 528 RD",
            "address_2": "SUITE 208",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465014",
            "telephone_number": "479-200-6034",
            "fax_number": "281-819-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSWOOD COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "OTTIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "479-200-6034",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "66163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI-216419601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.