CERTUSLOGUE, PLLC (NPI# 1538604152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538604152 |
| Entity Type | Organization |
| Organization Name | CERTUSLOGUE, PLLC |
| Practice Address |
11211 Katy Fwy Suite 285 Houston TX 77079-2126 |
| Mailing Address |
815 Carlingford Ln Houston TX 77079-3204 |
| Practice Telephone | 7136324658 |
| Mailing Telephone | 7136324658 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | MRS. CONNIE VILLASMIL (OWNER) |
| Authorized Official Telephone | 7136324658 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
56541 | TX | Behavioral Health & Social Service Providers |
| Street Address |
11211 KATY FWY SUITE 285 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144271735 | Divine Nursing Services Inc. | Home Health | 11211 Katy Fwy, 310, Houston, TX 77079-2126 | 2006-05-16 |
| 1326409632 | Marisa Suzann Mundey | Marriage & Family Therapist | 11211 Katy Fwy, Suite 440e, Houston, TX 77079-2126 | 2016-03-14 |
| 1295122547 | Frsttexas Consultants | Physical Therapist | 11211 Katy Fwy, Suite 620, Houston, TX 77079-2126 | 2015-04-23 |
| 1740672146 | Dan Bodin | Psychologist | 11211 Katy Fwy, Suite 620, Houston, TX 77079-2126 | 2015-02-23 |
| 1275944480 | Blessing Usifoh | Home Health | 11211 Katy Fwy, Houston, TX 77079-2126 | 2014-05-12 |
| 1922428440 | Christa Mcbain | Physical Therapist | 11211 Katy Fwy, #620, Houston, TX 77079-2126 | 2014-04-23 |
| 1013249556 | Spinetastik - The Future of Chiropractic | Chiropractor | 11211 Katy Fwy, Suite 100, Houston, TX 77079-2106 | 2010-02-09 |
| 1578892873 | Arash Arabghani | Home Health | 11211 Katy Fwy, Suite 260, Houston, TX 77079-2126 | 2009-12-15 |
| 1255573861 | Nancy Simpson | Counselor | 11211 Katy Fwy, Suite 320, Houston, TX 77079-2126 | 2009-03-27 |
| 1063609923 | Dina Duran Blume | Counselor | 11211 Katy Fwy, Houston, TX 77079-2126 | 2007-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234716 | Leah Mcnulty | Social Worker | 13722 Office Park Dr Ste B, Houston, TX 77070-2891 | 2020-10-26 |
| 1700485307 | Chasity Danielle Rasco | Social Worker | 14695 Briar Forest Dr Apt 6202, Houston, TX 77077-2713 | 2020-10-23 |
| 1508465592 | Trinity Community Healthcare LLC | Social Worker | 14501 Empanada Dr Apt 2404, Houston, TX 77083-3394 | 2020-10-20 |
| 1194323691 | Kandra Renay Essien | Social Worker | 1475 Texas St Unit 705, Houston, TX 77002-3692 | 2020-10-15 |
| 1023616703 | Tamyra Nikita Ware Lawson | Social Worker | 801 Town and Country Blvd, Houston, TX 77024-4164 | 2020-10-14 |
| 1649886128 | Natasha Crosby | Social Worker | 5330 Summit Hollow Dr, Houston, TX 77084-6890 | 2020-09-19 |
| 1841802246 | Melinda Ortega | Social Worker | 6617 Avenue T, Houston, TX 77011-1229 | 2020-08-18 |
| 1104436997 | Eldercare Therapy and Wellness LLC | Social Worker | 5530 Rutherglenn Dr, Houston, TX 77096-4034 | 2020-08-05 |
| 1700496015 | Laura Elizabeth Wiginton | Social Worker | 1501 Crocker St Apt 1, Houston, TX 77019-4371 | 2020-08-03 |
| 1235747882 | Elizabeth Lowrey | Social Worker | 1212 Fairview Ave Apt I, Houston, TX 77006-1261 | 2020-07-20 |
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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.