Organization Active NPI

Therapeutic Counseling and Wellness PLLC

  • Professional Counselor
  • Sugar Land, TX
National Provider Identifier
1841878279
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THERAPEUTIC COUNSELING AND WELLNESS PLLC
Practice address
3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211
Phone
(281) 810-3000
Fax
(713) 936-2784
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Kimberly Pate, LPC
Title
Owner
Phone
(281) 810-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211

Mailing address

3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211
Phone (281) 810-3000

Other identifiers 2

IdentifierTypeStateIssuer
347873704MedicaidTX
347873705OtherCSN-MEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL INFO@YOURTHERAPYPRO.COM Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1841878279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUGAR CREEK CENTER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782211",
            "telephone_number": "281-810-3000",
            "fax_number": "713-936-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SUGAR CREEK CENTER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782211",
            "telephone_number": "281-810-3000",
            "fax_number": "713-936-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-810-3000",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347873704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSN-MEDICAID",
            "identifier": "347873705",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "INFO@YOURTHERAPYPRO.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS WEBSITE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://www.simplepractice.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ALL DATA",
            "address_1": "3 Sugar Creek Center Blvd Ste 100",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774782211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.