FOURTH DIMENSION COUNSELING SERVICES (NPI# 1891187910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891187910 |
| Entity Type | Organization |
| Organization Name | FOURTH DIMENSION COUNSELING SERVICES |
| Practice Address |
2616 S Loop W Suite 655 Houston TX 77054-2662 |
| Practice Telephone | 8325812970 |
| Mailing Telephone | 8325812970 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | MR. CARL MICHAEL POOLE (CEO) |
| Authorized Official Telephone | 8325812970 |
| Authorized Official Credential | LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 3830-3831 | TX | Managed Care Organizations |
| N | 305R00000X | Preferred Provider Organization | 3830-3831 | TX | Managed Care Organizations |
| N | 305S00000X | Point of Service | 3830-3831 | TX | Managed Care Organizations |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3830-3831 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2616 S LOOP W SUITE 655 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831103720 | Nilesh N Kotecha | Neurological Surgery | 2616 S Loop W, Suite 170, Houston, TX 77054-2662 | 2006-07-28 |
| 1548778863 | Shalainna Yemisi Ogunbiyi | Specialist/Technologist | 2616 S Loop W, Houston, TX 77054-2662 | 2018-01-22 |
| 1225549413 | My Bright Future, LLC | Psychologist | 2616 S Loop W, Houston, TX 77054-2662 | 2017-10-16 |
| 1487015699 | Joy Akhigbe | Nurse Practitioner | 2616 S Loop W, 100c, Houston, TX 77054-2662 | 2016-03-15 |
| 1841651577 | Advocates United and Company | Community/Behavioral Health | 2616 S Loop W, Suite 594, Houston, TX 77054-2662 | 2016-03-08 |
| 1124497938 | Unconditional Care Services | Exclusive Provider Organization | 2616 S Loop W, #218, Houston, TX 77054-2662 | 2015-09-22 |
| 1801204367 | Choices To Changes Psychotherapy | Clinic/Center | 2616 S Loop W, Suite 550, Houston, TX 77054-2662 | 2014-07-29 |
| 1730507922 | National Healthcare Group Inc | Nursing Care | 2616 S Loop W, 100h, Houston, TX 77054-2662 | 2014-04-03 |
| 1881024974 | Gmc Restorative Therapy | Marriage & Family Therapist | 2616 S Loop W, Houston, TX 77054-2662 | 2013-11-26 |
| 1568898211 | Ura Professional Services Pa | Clinic/Center | 2616 S Loop W, Suite 170, Houston, TX 77054-2662 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| 1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
| 1003427964 | New Lite Counseling Center Inc. | Counselor | 4625 North Fwy Ste 115, Houston, TX 77022-2929 | 2020-08-13 |
| 1245841121 | Jennifer Lauren Enrri | Counselor | 1450 W Sam Houston Pkwy N, Houston, TX 77043-3135 | 2020-08-13 |
| 1780200618 | Caldwell Counseling Center | Counselor | 11999 Katy Fwy Ste 530, Houston, TX 77079-1623 | 2020-06-16 |
| 1306461231 | Rose Marie Dirden | Counselor | 7676 Hillmont St Ste 201, Houston, TX 77040-6467 | 2020-06-16 |
| 1861016636 | Discovery Alcohol & Drug Education Program, LLC | Counselor | 1100 Nasa Pkwy Ste 211a, Houston, TX 77058-3546 | 2020-06-07 |
| 1881216158 | Anthony Dejohn Young | Counselor | 2219 Greenhouse Rd Apt 2306, Houston, TX 77084-7318 | 2020-05-10 |
| Find all providers in HOUSTON | ||||
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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.