Active NPI
Michelle Nicole Land, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1912408428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75191
- Practice address
- 4606 FM 1960 Rd W Ste 600
Houston, TX 77069-4613 - Phone
- (281) 302-4148
- Fax
- (281) 302-4148
- NPI assigned
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 75191 | TX | |
| Mental Health Counselor | 101YM0800X | 75191 | TX | |
| Professional Counselor | 101YP2500X | 75191 | TX | Primary |
Addresses
Primary practice location
4606 FM 1960 Rd W Ste 600
Houston, TX 77069-4613
Mailing address
4606 FM 1960 Rd W Ste 600
Houston, TX 77069-4613
Phone (281) 302-4148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380633303 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle@psykheinc.com | Direct | Psykhe Incorporated, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75191 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Psykhe Incorporated, PLLC | Mental Health | Current | Accepting new patients |
| Partum Health Service Corporation | Mental Health | Past | Accepting new patients |
| The Harris Center for Mental Health and Idd | Past | Accepting new patients | |
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4606 FM 1960 Rd W
Ste 600
Houston, TX 77069
Phone (281) 302-4148
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1225684814
Mental Health
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1508277716
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1316694193
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1912408428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 FM 1960 RD W STE 600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694613",
"telephone_number": "281-302-4148",
"fax_number": "281-302-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 FM 1960 RD W STE 600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694613",
"telephone_number": "281-302-4148",
"fax_number": "281-302-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "MICHELLE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "75191",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "75191",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380633303",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle@psykheinc.com",
"affiliation": "Y",
"endpointDescription": "direct messaging",
"affiliationName": "Psykhe Incorporated, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4606 Fm 1960 Rd W Ste 600",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770694613",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.