Organization Active NPI

Addiction Counseling Associates

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1851534218
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13025 Issued in TX
Legal business name
ADDICTION COUNSELING ASSOCIATES
Practice address
2990 Richmond Ave
Suite 207
Houston, TX 77098-3104
Phone
(713) 520-5492
Fax
(713) 365-0133
NPI assigned
Apr 15, 2009
Last updated
Apr 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Blanche Handunge Khan, PH.D.NPI 1174619357
Title
Provider
Phone
(713) 520-5492

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13025 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 5660 TX
Mental Health Counselor 101YM0800X 13025 TX
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X 13025 TX Primary
Psychologist 103T00000X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X 5660 TX
Forensic Psychologist 103TF0200X NU
Group Psychotherapy Psychologist 103TP2701X 13025 TX

Addresses

Primary practice location

2990 Richmond Ave
Suite 207
Houston, TX 77098-3104

Mailing address

19315 Morning News LN
Richmond, TX 77407-2996
Phone (713) 520-5492

Other identifiers 1

IdentifierTypeStateIssuer
026718902MedicaidTX

National Provider Directory

National Provider Directory

Locations

2990 Richmond Ave
Ste 207
Houston, TX 77098
Phone (713) 520-5492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1851534218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 MORNING NEWS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072996",
            "telephone_number": "713-520-5492",
            "fax_number": "713-365-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RICHMOND AVE",
            "address_2": "SUITE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983104",
            "telephone_number": "713-520-5492",
            "fax_number": "713-365-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "BLANCHE",
        "authorized_official_middle_name": "HANDUNGE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "713-520-5492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "13025",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5660",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13025",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13025",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5660",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "13025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026718902",
            "state": "TX"
        }
    ],
    "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 Apr 15, 2009; 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.