Organization Active NPI

Coronado Counseling Center

  • Professional Counselor
  • Pasadena, TX
National Provider Identifier
1972988350
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67687 Issued in TX
Legal business name
CORONADO COUNSELING CENTER
Practice address
3315 Burke Rd Ste 106
Pasadena, TX 77504-1873
Phone
(713) 548-6961
NPI assigned
Jul 27, 2015
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Dr. Cynthia Lee Coronado, EDD, LPC-S, CASNPI 1447654595
Title
Owner
Phone
(281) 512-1976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67687 TX Primary

Addresses

Primary practice location

3315 Burke Rd Ste 106
Pasadena, TX 77504-1873

Mailing address

3315 Burke Rd Ste 106
Pasadena, TX 77504-1873
Phone (713) 548-6961

Other identifiers 2

IdentifierTypeStateIssuer
342044001MedicaidTX
342044002MedicaidTX

National Provider Directory

National Provider Directory

Locations

3315 Burke Rd
Ste 106
Pasadena, TX 77504
Phone (713) 548-6961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1972988350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 106",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041873",
            "telephone_number": "713-548-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 106",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041873",
            "telephone_number": "713-548-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-512-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPC-S, CAS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342044001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342044002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.