NPIMap

Organization Active NPI

Collective Psychotherapy, PLLC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1942895404
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLECTIVE PSYCHOTHERAPY, PLLC
Practice address
1235 North Loop W Ste 918
Houston, TX 77008-4707
Phone
(713) 482-1266
NPI assigned
Mar 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Shundrika Jones, LPCNPI 1376135236
Title
Owner
Phone
(334) 730-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1235 North Loop W Ste 918
Houston, TX 77008-4707

Mailing address

15035 Raffia Leave Way
Houston, TX 77090-5016
Phone (334) 730-8010

Other practice location 1

15035 Raffia Leave Way
Houston, TX 77090-5016
Phone (713) 482-1266

National Provider Directory

National Provider Directory

Locations

9803 Highway 242
Ste 142
Conroe, TX 77385

1235 North Loop W
Ste 918
Houston, TX 77008
Phone (713) 482-1266

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1942895404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15035 RAFFIA LEAVE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905016",
            "telephone_number": "334-730-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NORTH LOOP W STE 918",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084707",
            "telephone_number": "713-482-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15035 Raffia Leave Way",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770905016",
            "country_code": "US",
            "telephone_number": "713-482-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLECTIVE PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHUNDRIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-730-8010",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 25, 2021; 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.