Individual provider Active NPI

Stephanie Marie Alvarenga, LMT, RTT

  • Health & Wellness Coach
  • Houston, TX
National Provider Identifier
1912603754
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
CERTIFICATE Issued in TX
Practice address
810 Highway 6 S Ste 201E
Houston, TX 77079-4022
Phone
(713) 322-6640
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 1643097 TX
Massage Therapist 225700000X MT130964 TX
Health & Wellness Coach 171400000X CERTIFICATE TX Primary

Addresses

Primary practice location

810 Highway 6 S Ste 201E
Houston, TX 77079-4022

Mailing address

2734 Rice Mill Ave
Katy, TX 77493-1898
Phone (346) 610-3474

Other identifiers 1

IdentifierTypeStateIssuer
MT130964OtherTXLICENSED MASSAGE THERAPISTS

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
1643097TXMDHealth & Wellness Coach
CERTIFICATETXMDHealth & Wellness Coach
MT130964TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1912603754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 RICE MILL AVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931898",
            "telephone_number": "346-610-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HIGHWAY 6 S STE 201E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794022",
            "telephone_number": "713-322-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARENGA",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "LMT, RTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "1643097",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT130964",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "CERTIFICATE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPISTS",
            "identifier": "MT130964",
            "state": "TX"
        }
    ],
    "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 Feb 2, 2023; 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.