Active NPI
Aundra McMullen
- Case Management Agency
- Houston, TX
National Provider Identifier
1952126088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 2379 Briarwest Blvd Unit 109
Houston, TX 77077-5697 - Phone
- (305) 528-9576
- NPI assigned
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2379 Briarwest Blvd Unit 109
Houston, TX 77077-5697
Mailing address
2379 Briarwest Blvd Unit 109
Houston, TX 77077-5697
Phone (305) 528-9576
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568946544 | Other | BCBS | |
| 5874 | Other | HEALTH PARTNERS | |
| 236 | Medicaid | DC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sandford.html | Marvelous Counseling & Therapy PLLC | |
| Other URL | securerecords.sandford.html | Marvelous Counseling & Therapy PLLC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvelous Counseling & Therapy PLLC | Mental Health | Past | Accepting new patients |
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": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1952126088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2379 BRIARWEST BLVD UNIT 109",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770775697",
"telephone_number": "305-528-9576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 BRIARWEST BLVD UNIT 109",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770775697",
"telephone_number": "305-528-9576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "AUNDRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "568946544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sandford.html",
"affiliation": "Y",
"affiliationName": "Marvelous Counseling & Therapy PLLC",
"address_1": "13700 Veterans Memorial Dr Ste 100",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770141017",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sandford.html",
"affiliation": "Y",
"affiliationName": "Marvelous Counseling & Therapy PLLC",
"address_1": "13700 Veterans Memorial Dr Ste 235",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770141026",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 22, 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.