Active NPI
Zen Imago PLLC
- Counselor
- Stafford, TX
National Provider Identifier
1891154266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 63309
- Legal business name
- ZEN IMAGO PLLC
- Practice address
- 4800 Sugar Grove Blvd
Suite 528
Stafford, TX 77477 - Phone
- (832) 782-0001
- NPI assigned
- Feb 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lola Clay, MS, LPC-S
- Title
- Owner
- Phone
- (832) 782-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 63309 | TX | Primary |
Addresses
Primary practice location
4800 Sugar Grove Blvd
Suite 528
Stafford, TX 77477
Mailing address
9119 Highway 6 South
Suite 189
Missouri City, TX 77459
Phone (832) 782-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207829703 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
9119 Highway 6
Ste 189
Missouri City, TX 77459
4800 Sugar Grove Blvd
Ste 528
Stafford, TX 77477
Phone (832) 726-0989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1891154266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 HIGHWAY 6 SOUTH",
"address_2": "SUITE 189",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "77459",
"telephone_number": "832-782-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SUGAR GROVE BLVD",
"address_2": "SUITE 528",
"city": "STAFFORD",
"state": "TX",
"postal_code": "77477",
"telephone_number": "832-782-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEN IMAGO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "LOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-782-0001",
"authorized_official_credential": "MS, LPC-S"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "63309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207829703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.