Active NPI
Elizabeth Betty Divine, LPC, LCDC
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1821167842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDC8902
- Practice address
- 4803 San Felipe St
Houston, TX 77056-3907 - Phone
- (713) 626-7990
- Fax
- (713) 627-7715
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LCDC8902 | TX | Primary |
| Mental Health Counselor | 101YM0800X | LPC17841 | TX |
Addresses
Primary practice location
4803 San Felipe St
Houston, TX 77056-3907
Mailing address
5855 Doliver Dr
Houston, TX 77057-2474
Phone (713) 857-7755
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDC8902 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| LPC17841 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interface-Samaritan Counseling Centers | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Houston, TX
- NPI 1245454768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1821167842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 DOLIVER DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770572474",
"telephone_number": "713-857-7755",
"fax_number": "713-627-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 SAN FELIPE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770563907",
"telephone_number": "713-626-7990",
"fax_number": "713-627-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVINE",
"first_name": "ELIZABETH",
"middle_name": "BETTY",
"credential": "LPC, LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "LCDC8902",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "LPC17841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Divine Purpose Care Home, LLC
- Divine Quality Care
- Divine Services Unlimited LLC (Divine Comfort Home Care)
- Divine Touch Healthcare Systems
- Divine Trinity Behavioral Health Services PLLC
- Divinecare and Recovery LLC
- Divinity Care Center (Florence N Bennett)
- Divinity Care Services Inc
- Divinity Health Services
- Diwan Enterprises Inc. (Texas Clinic Westview)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.