Organization Active NPI

Montgomery County Counseling Works, PLLC

  • Professional Counselor
  • The Woodlands, TX
National Provider Identifier
1821650573
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MONTGOMERY COUNTY COUNSELING WORKS, PLLC
Practice address
25511 Budde Rd Ste 3601
The Woodlands, TX 77380-2080
Phone
(979) 235-0447
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Mrs. Karen Renee Gresham, LPC, NCCNPI 1104354828
Title
Clinical Therapist and Owner
Phone
(979) 235-0447

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

25511 Budde Rd Ste 3601
The Woodlands, TX 77380-2080

Mailing address

124 Mallard Creek CT
Montgomery, TX 77316-1868
Phone (979) 235-0447

Other practice location 1

124 Mallard Creek Ct
Montgomery, TX 77316-1868
Phone (979) 235-0447

Other identifiers 2

IdentifierTypeStateIssuer
1104354828OtherTXSOLE PROPRIETER
1104354828MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1821650573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MALLARD CREEK CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161868",
            "telephone_number": "979-235-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 3601",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802080",
            "telephone_number": "979-235-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Mallard Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773161868",
            "country_code": "US",
            "telephone_number": "979-235-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY COUNSELING WORKS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "979-235-0447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETER",
            "identifier": "1104354828",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104354828",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.