CANFIELD OTTEN PSYCHOTHERAPY, PLLC (NPI# 1265940787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265940787 |
| Entity Type | Organization |
| Organization Name | CANFIELD OTTEN PSYCHOTHERAPY, PLLC |
| Practice Address |
2217 Park Ave Pearland TX 77581 |
| Practice Telephone | 2819978400 |
| Practice Fax Number | 2819978404 |
| Mailing Telephone | 2819978400 |
| Mailing Fax Number | 2819978404 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | MRS. JESSICA CANFIELD OTTEN (COUNSELOR) |
| Authorized Official Telephone | 2814508375 |
| Authorized Official Credential | MA, MED, LPC, LC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13093 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
74298 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2217 PARK AVE |
| City | PEARLAND |
| State | TX |
| Zip Code | 77581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881619815 | Gale Grant | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2006-07-12 |
| 1821614967 | Clarity Counseling and Consultants | Marriage & Family Therapist | 2217 Park Ave, Pearland, TX 77581-4216 | 2020-06-24 |
| 1740847219 | Pamela Sue Lawson | Marriage & Family Therapist | 2217 Park Ave, Pearland, TX 77581-4216 | 2019-05-21 |
| 1134687106 | Holistic Focused Counseling LLC | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2019-03-07 |
| 1538654439 | Majestic Counseling and Consulting, LLC | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2018-06-25 |
| 1518469006 | Tatanisha Parker | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2018-03-01 |
| 1457873952 | Jessica Canfield Otten | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2017-07-17 |
| 1972978534 | Ashley De La Fuente-santana | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2015-12-08 |
| 1629455100 | Counseling Center of Pearland | Community/Behavioral Health | 2217 Park Ave, Pearland, TX 77581-4216 | 2015-05-04 |
| 1710318605 | Patel Counseling and Mediation Services, Pllc | Counselor | 2217 Park Ave, Pearland, TX 77581-4216 | 2013-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171973 | Teledentist365 Foundation | Public Health or Welfare | 2111 Limrick Drive, Pearland, TX 77581 | 2020-07-10 |
| 1558984757 | Oculus Interest Vii, LLC | Optometrist | 2470 Pearland Pkwy, Pearland, TX 77581 | 2020-05-21 |
| 1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
| 1164054615 | Chau Minh Pho | Pharmacist | 3245 Fm518, Pearland, TX 77581 | 2020-02-12 |
| 1902460611 | Areli Dominguez | Behavior Technician | 6516 Broadway Street, Suite 112, Perland, TX 77581 | 2019-04-29 |
| 1700356359 | Rebekah Buck | Physical Therapist | 2011 E. Broadway Ste 130, Pearland, TX 77581 | 2018-11-27 |
| 1639676737 | Kjj Vision Pllc | Optometrist | 1816 Broadway St Ste 106, Pearland, TX 77581 | 2018-04-06 |
| 1386155398 | Tekisha Murphy | Nurse Practitioner | 2812 Afton Drive, Pearland, TX 77581 | 2017-10-17 |
| 1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
| 1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
| Find all providers in zip 77581 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352789 | Maranice Strickland | Counselor | 2908 Tower Bridge Ct, Pearland, TX 77581-4530 | 2020-06-30 |
| 1952923997 | Maria Quadri | Counselor | 2716 Maple Ln, Pearland, TX 77584-1074 | 2020-05-13 |
| 1376181032 | Georgia Lovell | Counselor | 2205 Briarstone Bluff Xing, Pearland, TX 77089-1709 | 2019-12-12 |
| 1871134262 | Rafiah Malene Dixon | Counselor | 13025 Castlewind Ln, Pearland, TX 77584-6793 | 2019-10-07 |
| 1588130397 | A Better Family Now | Counselor | 12234 Shadow Creek Pkwy Ste 1104, Pearland, TX 77584-7330 | 2018-10-18 |
| 1548746118 | Natalie Sharron Jackson | Counselor | 3409 Leafstone Ln, Pearland, TX 77584-6415 | 2018-07-17 |
| 1891288999 | Kossiwa Edith Amegavi Johnson | Counselor | 2001 Tall Timbers Ln, Pearland, TX 77581-6543 | 2018-06-13 |
| 1740797026 | Rhonda Ranelle West | Counselor | 9639 Scarsdale Blvd, Pearland, TX 77581-1416 | 2018-01-08 |
| 1851806640 | Merdith Dale Roach Jr. | Counselor | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2017-12-03 |
| 1477099463 | Chrismathe Lindsay | Counselor | 2217 North Park Avenue, Pearland, TX 77581 | 2017-01-13 |
| Find all providers in PEARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.