Individual provider Active NPI

Michelle Nicole Land, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1912408428
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75191 Issued in TX
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

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
380633303MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906004122 TX Practitioner - Mental Health Counselor 7113467903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75191TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 23, 2024 Accepting new patients
Psykhe Incorporated, PLLC Mental Health CurrentSince Aug 18, 2019 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 PastSince Jul 19, 2010 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.

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

Verify at the official NPI Registry.