Blythe Monroe Cordova, LPC-ASSOCIATE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

94122 Issued in TX

Practice address

26310 Oak Ridge Dr Ste 35
The Woodlands, TX 77380-3777

Phone

(346) 386-7045

NPI assigned

Jan 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heart of Mind Therapy, PLLC

  • Group Psychotherapy Psychologist
  • The Woodlands, TX
  • NPI 1407501349
  NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1932962271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26310 OAK RIDGE DR STE 35",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803777",
            "telephone_number": "346-386-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26310 OAK RIDGE DR STE 35",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803777",
            "telephone_number": "346-386-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "BLYTHE",
        "middle_name": "MONROE",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "94122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Cope, BCBA, LBA
• Coram Alternate Site Services, Inc.
• Angela Dawn Corbeil, OTR
• Russell Lee Corcoran
• Tina Louise Cordero, PA-C
• Core Health Chiropractic, LLC
• Correa Plastic Surgery PLLC
• Bryan J Correa, M.D.
• Angela Coscio, MD
• Costco Wholesale Corporation

• Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.