Individual provider Active NPI

Teresa Anne Palmer, LPC

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1811239734
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68036 Issued in TX
Practice address
2313 Timber Shadows Dr
Suite 103
Kingwood, TX 77339-2270
Phone
(832) 470-7247
Fax
(281) 540-2166
NPI assigned
Mar 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68036 TX Primary

Addresses

Primary practice location

2313 Timber Shadows Dr
Suite 103
Kingwood, TX 77339-2270

Mailing address

2313 Timber Shadows Dr
Suite 103
Kingwood, TX 77339-2270
Phone (832) 470-7247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000629 TX Practitioner - Mental Health Counselor 6204276975 Practice locations: Kingwood, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1414 Stonehollow Dr
Suite 3
Kingwood, TX 77339-2664
Phone (281) 635-3990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68036TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1811239734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 TIMBER SHADOWS DR",
            "address_2": "SUITE 103",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392270",
            "telephone_number": "832-470-7247",
            "fax_number": "281-540-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 TIMBER SHADOWS DR",
            "address_2": "SUITE 103",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392270",
            "telephone_number": "832-470-7247",
            "fax_number": "281-540-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TERESA",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.