Cinco Ranch Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

25180 Issued in TX

Legal business name

CINCO RANCH BEHAVIORAL HEALTH

Practice address

24044 Cinco Village Center Blvd
Suite 100
Katy, TX 77494-8432

Phone

(281) 665-7346

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Phaetra Kafunya Raney-Semien, LCSW

Title

Director

Phone

(281) 665-7346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1861896417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948432",
            "telephone_number": "281-665-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948432",
            "telephone_number": "281-665-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCO RANCH BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "RANEY-SEMIEN",
        "authorized_official_first_name": "PHAETRA",
        "authorized_official_middle_name": "KAFUNYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-665-7346",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "25180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona L Ciba, DPM
• Francisco Orlando Cifuentes Rodriguez
• Cinco Anesthesia Associates PLLC
• Cinco Meadows Dental PLLC
• Cinco Medical Anesthesia Services
• Cinco Ranch Dental, P. a.
• Cinco Ranch Dermatology, P.a. (Cinco Ranch Dermatology)
• Cinco Ranch Endodontics
• Cinco Ranch Family Wellness LLC
• Cinco Ranch Medical Center

• Mental Health Counselor in Katy, TX
• Providers in Katy, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.