Active NPI
Paul Wycliff Fordjour, LMFT
- Marriage & Family Therapist
- Houston, TX
National Provider Identifier
1841569837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2989
- Practice address
- 10903 Highland Meadow VLG Dr
405
Houston, TX 77089-5388 - Phone
- (281) 824-2373
- NPI assigned
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 11143 | TX | |
| Marriage & Family Therapist | 106H00000X | 2989 | TX | Primary |
Addresses
Primary practice location
10903 Highland Meadow VLG Dr
405
Houston, TX 77089-5388
Mailing address
10903 Highland Meadow VLG Dr
405
Houston, TX 77089-5388
Phone (281) 824-2373
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 |
|---|---|---|---|
| 2989 | TX | MD | Marriage & Family Therapist |
| 11143 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1841569837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 HIGHLAND MEADOW VLG DR",
"address_2": "405",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770895388",
"telephone_number": "281-824-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10903 HIGHLAND MEADOW VLG DR",
"address_2": "405",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770895388",
"telephone_number": "281-824-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORDJOUR",
"first_name": "PAUL",
"middle_name": "WYCLIFF",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "11143",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "2989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.