Organization Active NPI

The Grief Refuge PLLC

  • Mental Health Counselor
  • Tomball, TX
National Provider Identifier
1962234401
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE GRIEF REFUGE PLLC
Practice address
11607 Spring Cypress Rd Ste E
Tomball, TX 77377-8916
Phone
(936) 203-9860
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Julia Ayraud
Title
Owner
Phone
(936) 203-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11607 Spring Cypress Rd Ste E
Tomball, TX 77377-8916

Mailing address

11607 Spring Cypress Rd Ste E
Tomball, TX 77377-8916
Phone (936) 203-9860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250108000799 TX Part B Supplier - Clinic/Group Practice 6800324641 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

8900 Eastloch Dr
Ste 225A
Spring, TX 77379
Phone (832) 720-6864

Practitioners & affiliated clinicians

Practitioners 1

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": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1962234401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11607 SPRING CYPRESS RD STE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778916",
            "telephone_number": "936-203-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11607 SPRING CYPRESS RD STE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778916",
            "telephone_number": "936-203-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRIEF REFUGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "AYRAUD",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-203-9860"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.