Individual provider Active NPI

Tameka Survillion

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1922334960
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61803 Issued in TX
Practice address
10200 East Fwy
Houston, TX 77029-1920
Phone
(713) 671-0414
Fax
(713) 671-0432
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 61803 TX Primary

Addresses

Primary practice location

10200 East Fwy
Houston, TX 77029-1920

Mailing address

4315 Dayflower Dr
Katy, TX 77449-4009

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
I20240531001754 TX Practitioner - Mental Health Counselor 8820430176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

24044 Cinco Village Ctr Blvd
Suite 100
Katy, TX 77494-8433
Phone (346) 206-3992

8665 New Trails Dr
Suite 185
The Woodlands, TX 77381-4272
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61803TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilience Center of Houston, LLC Professional CurrentSince Apr 23, 2024 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

13333 Dotson Rd
Ste 160
Houston, TX 77070
Phone (631) 295-6516

24044 Cinco Village Center Blvd
Ste 100
Katy, TX 77494
Phone (713) 332-2788

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1922334960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 DAYFLOWER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770291920",
            "telephone_number": "713-671-0414",
            "fax_number": "713-671-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURVILLION",
        "first_name": "TAMEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.