Individual provider Active NPI

Simeon Okolo Igwesi, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1992136139
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68726 Issued in TX
Practice address
1454 Campbell Rd
Suite 150
Houston, TX 77055-4604
Phone
(832) 373-6276
Fax
(713) 244-0923
NPI assigned
Dec 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68726 TX Primary

Addresses

Primary practice location

1454 Campbell Rd
Suite 150
Houston, TX 77055-4604

Mailing address

10070 Westpark Dr Apt 820
820
Houston, TX 77042-5749
Phone (832) 373-6276

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

State licenses

LicenseStateTypeSpecialty
68726TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1992136139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10070 WESTPARK DR APT 820",
            "address_2": "820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425749",
            "telephone_number": "832-373-6276",
            "fax_number": "713-244-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 CAMPBELL RD",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554604",
            "telephone_number": "832-373-6276",
            "fax_number": "713-244-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWESI",
        "first_name": "SIMEON",
        "middle_name": "OKOLO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68726",
            "primary": true
        }
    ],
    "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 Dec 12, 2013; 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.