NPIMap

Organization Active NPI

Medcare Pediatric Rehab Center, LP

Doing business as MedCare Centers for Counseling and Play Therapy

  • Professional Counselor
  • Stafford, TX
National Provider Identifier
1811146517
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63953 Issued in TX
Legal business name
MEDCARE PEDIATRIC REHAB CENTER, LP
Doing business as
MedCare Centers for Counseling and Play Therapy
Practice address
12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone
(713) 773-5100
Fax
(713) 773-5151
NPI assigned
Sep 17, 2008
Organization subpart
Yes
Parent organization
MEDCARE PEDIATRIC GROUP, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Mrs. Paige Kinkade
Title
Ceo
Phone
(713) 995-9292

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 63953 TX Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 19469 TX
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X S41336 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X S16360 TX

Addresses

Primary practice location

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Mailing address

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 773-5100

Other identifiers 1

IdentifierTypeStateIssuer
180132602MedicaidTX

Other names 1

  • MedCare Centers for Counseling and Play Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medcare Pediatric Rehab Center LP11 organizations share this tax ID, including this one
Part of
Medcare Pediatric Group LP

Other organizations with this tax ID 10

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1811146517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-773-5100",
            "fax_number": "713-773-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-773-5100",
            "fax_number": "713-773-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PEDIATRIC REHAB CENTER, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCARE PEDIATRIC GROUP, LP",
        "enumeration_date": "2008-09-17",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "KINKADE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-995-9292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63953",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19469",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "S41336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S16360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180132602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Centers for Counseling and Play Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.