Individual provider Active NPI

Richelle Whittaker I, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1902136815
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64015 Issued in TX
Practice address
4660 Beechnut St Ste 220
Houston, TX 77096-1817
Phone
(832) 767-0760
Fax
(832) 553-7274
NPI assigned
Dec 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64015 TX Primary

Addresses

Primary practice location

4660 Beechnut St Ste 220
Houston, TX 77096-1817

Mailing address

11313 Windy Dawn Dr
Pearland, TX 77584-8216
Phone (713) 436-3532

Other practice location 1

11313 Windy Dawn Dr
Pearland, TX 77584-8216
Phone (713) 436-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64015TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Providential Counseling and Consulting Services, PLLC Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1902136815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 WINDY DAWN DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848216",
            "telephone_number": "713-436-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961817",
            "telephone_number": "832-767-0760",
            "fax_number": "832-553-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11313 Windy Dawn Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775848216",
            "country_code": "US",
            "telephone_number": "713-436-3532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "RICHELLE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.