Individual provider Active NPI

Amanda Ellen Kasowski, MA, LPA-IP

  • Clinical Psychologist
  • Spring, TX
National Provider Identifier
1932987955
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38455 Issued in TX
Practice address
1544 Sawdust Rd Ste 290
Spring, TX 77380-2903
Phone
(281) 602-8108
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 38455 TX Primary

Addresses

Primary practice location

1544 Sawdust Rd Ste 290
Spring, TX 77380-2903

Mailing address

2030 Lost Timbers Dr
Conroe, TX 77304-3222
Phone (281) 813-4090

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
38455TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1932987955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LOST TIMBERS DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043222",
            "telephone_number": "281-813-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD STE 290",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802903",
            "telephone_number": "281-602-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASOWSKI",
        "first_name": "AMANDA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPA-IP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.