Individual provider Active NPI

Glenda E Demas, LPC

  • Counselor
  • Houston, TX
National Provider Identifier
1912421983
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
76696 Issued in TX
Practice address
7807 Long Point Rd Ste 215
Houston, TX 77055-3694
Phone
(832) 291-8363
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 76696 TX Primary

Addresses

Primary practice location

7807 Long Point Rd Ste 215
Houston, TX 77055-3694

Mailing address

2003 Scarlet Trail CT
Katy, TX 77494-5859
Phone (832) 291-8363

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
76696TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mynd Your Mental Enterprises Current Accepting new patients
Pearls of Change Education & Consulting Srvices, LLC Current Accepting new patients
Pearls of Change Wellness Current Accepting new patients

Organizations & group practices 3

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1912421983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SCARLET TRAIL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945859",
            "telephone_number": "832-291-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 LONG POINT RD STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553694",
            "telephone_number": "832-291-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAS",
        "first_name": "GLENDA",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76696",
            "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 Dec 17, 2018; 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.