Organization Active NPI

Sydney Adams Dba Kingwood Counseling Center

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1891205456
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37447 Issued in TX
Legal business name
SYDNEY ADAMS DBA KINGWOOD COUNSELING CENTER
Practice address
1521 Green Oak PL Ste 250
Kingwood, TX 77339
Phone
(281) 608-1346
Fax
(832) 436-1648
NPI assigned
Oct 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Sydney Gayle Adams, LCSW
Title
Owner
Phone
(281) 608-1346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 37447 TX Primary

Addresses

Primary practice location

1521 Green Oak PL Ste 250
Kingwood, TX 77339

Mailing address

1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044
Phone (281) 608-1346

Other practice location 1

3411 Cedar Knolls Dr Ste K
Kingwood, TX 77339-2474
Phone (281) 608-1346

Other practice location 2

3411 Cedar Knolls Dr Ste K
Kingwood, TX 77339-2474
Phone (281) 608-1346

Other identifiers 2

IdentifierTypeStateIssuer
210925803MedicaidTX
112620020OtherTXCAQH

National Provider Directory

National Provider Directory
Tax ID family
Kingwood Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1521 Green Oak Pl
Ste 250
Kingwood, TX 77339
Phone (281) 608-1346

3411 Cedar Knolls Dr
Ste K
Kingwood, TX 77339
Phone (281) 608-1346

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1891205456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3411 Cedar Knolls Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392474",
            "country_code": "US",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3411 Cedar Knolls Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392474",
            "country_code": "US",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYDNEY ADAMS DBA KINGWOOD COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-608-1346",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210925803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "112620020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.