Individual provider Active NPI

Mary Fraire

  • Health & Wellness Coach
  • League City, TX
National Provider Identifier
1922790237
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
UC-F24F6D9D-FB91-433 Issued in TX
Practice address
2555 S Shore Blvd Ste C
League City, TX 77573-2934
Phone
(832) 932-3530
Fax
(409) 750-7634
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X UC-F24F6D9D-FB91-433 TX Primary

Addresses

Primary practice location

2555 S Shore Blvd Ste C
League City, TX 77573-2934

Mailing address

2555 S Shore Blvd Ste C
League City, TX 77573-2934
Phone (832) 932-3530

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
UC-F24F6D9D-FB91-433TXMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
New Chapter Counseling Services, PLLC CurrentSince May 28, 2023 Accepting new patients

Locations

2555 S Shore Blvd
Ste C
League City, TX 77573
Phone (832) 932-3530

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1922790237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S SHORE BLVD STE C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732934",
            "telephone_number": "832-932-3530",
            "fax_number": "409-750-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S SHORE BLVD STE C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732934",
            "telephone_number": "832-932-3530",
            "fax_number": "409-750-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIRE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "UC-F24F6D9D-FB91-433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.