Active NPI
Roberta L Amidei
- Professional Counselor
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85725
- Practice address
- 15103 Mason Rd Ste E2
Cypress, TX 77433-6458 - Phone
- (855) 284-7483
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85725 | TX | Primary |
Addresses
Primary practice location
15103 Mason Rd Ste E2
Cypress, TX 77433-6458
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15103 Mason Rd
Suite E2
Cypress, TX 77433-6458
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85725 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Serenity Ranch Wellness, PLLC | Professional | Current | Accepting new patients |
Locations
902 N San Jacinto St
Conroe, TX 77301
Phone (936) 333-2653
902 N San Jacinto St
Ofc
Conroe, TX 77301
Phone (936) 529-0374
15103 Mason Rd
Ste E-2
Cypress, TX 77433
Phone (281) 570-7947
1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050
16310 Tomball Pkwy
Ste 104
Houston, TX 77064
Phone (210) 864-1420
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.
-
- Professional Counselor
- Conroe, TX
- NPI 1346940160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1861101560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15103 MASON RD STE E2",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336458",
"telephone_number": "855-284-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIDEI",
"first_name": "ROBERTA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
- America's ER Site 002 - UC, LLC (America's ER)
- America's ER Site 002 Imaging and Laboratory Services, LLC
- America's ER Site 002, LLC (America's ER)
- American Dermatology Center LLC (Nikko Dermatology)
- American Oncology Partners, P.a.
- Huzefa Abdeali Amiji, PHARMD
- Amin Foot & Ankle Corp
- Yalda Amir Kiaei
- Emily Beth Amos, FNP
- Afua Christana Ampadu, C N A & C M A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.