Individual provider Active NPI

Courtney Prudhomme, LPC

  • Counselor
  • Conroe, TX
National Provider Identifier
1831677137
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
76382 Issued in TX
Practice address
535 Springwood Dr
Conroe, TX 77385-9513
Phone
(281) 254-3758
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 76382 TX
Counselor 101Y00000X 76382 TX Primary

Addresses

Primary practice location

535 Springwood Dr
Conroe, TX 77385-9513

Mailing address

535 Springwood Dr
Conroe, TX 77385-9513
Phone (281) 254-3758

Other practice location 1

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-3354

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

LicenseStateTypeSpecialty
76382TXMDCase Management Agency

Practice roles

OrganizationSpecialtyStatusNew patients
CP Therapy Counselor CurrentSince Jun 11, 2023 Accepting new patients
CP Therapy Counselor CurrentSince Nov 19, 2023 Accepting new patients

Locations

12238 Queenston Blvd
Ste G
Houston, TX 77095
Phone (281) 746-2704

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1831677137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SPRINGWOOD DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773859513",
            "telephone_number": "281-254-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SPRINGWOOD DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773859513",
            "telephone_number": "281-254-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUDHOMME",
        "first_name": "COURTNEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "76382",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.