Selenos Azzam, LPC-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

30 Crest Gate
Houston, TX 77082-1534

Phone

(832) 803-4494

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Collective Psychotherapy, PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1942895404
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1972228575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CREST GATE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821534",
            "telephone_number": "832-803-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CREST GATE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821534",
            "telephone_number": "832-803-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZAM",
        "first_name": "SELENOS",
        "name_prefix": "Ms.",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azurite Counseling and Wellness, PLLC
• Azusa Group LLC
• Czarina Victoria Azzam, LPC, PHD
• Erin Amanda Azzam, BCBA
• Joumana Azzam, LCSW
• Kelsey Leigh Azzato, PA-C
• Saif Azzawi, DDS
• Madeleina Azzi
• Azzur Counseling Inc
• B & B Medical Services, Inc.

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.