Organization Active NPI

Zen Imago PLLC

  • Counselor
  • Stafford, TX
National Provider Identifier
1891154266
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63309 Issued in TX
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

Updated by the provider on Feb 15, 2016

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
207829703MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.