Individual provider Active NPI

Tonja K. Cordova, LPC, NCC, MA

  • Professional Counselor
  • Tomball, TX
National Provider Identifier
1841832748
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78630 Issued in TX
Practice address
1327 W Main St Ste 2
Tomball, TX 77375-5548
Phone
(832) 299-8863
Fax
(832) 761-7246
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 78630 TX Primary

Addresses

Primary practice location

1327 W Main St Ste 2
Tomball, TX 77375-5548

Mailing address

22730 Newcourt Place St
Tomball, TX 77375-1125
Phone (832) 299-8863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
78630TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Behavioral Healthcare CurrentSince Jan 1, 2024 Accepting new patients
Huff-Howard, Inc. PastSince Oct 13, 2019 Accepting new patients

Locations

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1841832748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22730 NEWCOURT PLACE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751125",
            "telephone_number": "832-299-8863",
            "fax_number": "832-761-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 W MAIN ST STE 2",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755548",
            "telephone_number": "832-299-8863",
            "fax_number": "832-761-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "TONJA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.