Coronado Counseling Center- Clear Lake

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CORONADO COUNSELING CENTER- CLEAR LAKE

Practice address

1115 Gemini St Ste 200
Houston, TX 77058-2707

Phone

(281) 461-6220

Fax

(833) 593-9064

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Lee Coronado, ED.D, CAS, LPC-SNPI 1447654595

Title

Owner

Phone

(281) 512-1976

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Lee Coronado, ED.D., LPC-S, CAS

  • Professional Counselor
  • Houston, TX
  • NPI 1447654595

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1861963001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 GEMINI ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582707",
            "telephone_number": "281-461-6220",
            "fax_number": "833-593-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GEMINI ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582707",
            "telephone_number": "281-461-6220",
            "fax_number": "833-593-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO COUNSELING CENTER- CLEAR LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-512-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, CAS, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447654595",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Ashby Cornthwaite, MS, RD, LD, CDCES
• Cesar Corona Gutierrez, MD
• Erika Corona
• Hugo Alejandro Corona, MD
• Javier Agustin Corona, MSW
• Angelina Lisbeth Coronado
• Cynthia Lee Coronado, ED.D., LPC-S, CAS
• Daniel Coronado, PA
• Leticia Guadalupe Coronado, RPH
• Emmanuel Sebastian Coronel Cordero, M.D

• All providers in Houston, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.