MR. DUDLEY T FARENTHOLD (NPI# 1225193261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225193261 |
| Entity Type | Individual |
| Full Name | MR. DUDLEY T FARENTHOLD |
| Credential | LCDC LPC LCSW |
| Practice Address |
5331 W Orem Dr Houston TX 77045-5036 |
| Mailing Address |
Po Box 451485 Houston TX 77245-1485 |
| Practice Telephone | 7134330528 |
| Practice Fax Number | 8325391299 |
| Mailing Telephone | 7134330528 |
| Mailing Fax Number | 8325391299 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC 797 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
14943 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 23834 | TX | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 23834 LCSW | TX | Other Service Providers |
| Street Address |
5331 W OREM DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77045-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649951 | Kept Wishes Wellness Center LLC | Clinic/Center | 5331 W Orem Dr, Houston, TX 77045-5036 | 2020-01-29 |
| 1639601131 | Queena's Adult Day Services | Clinic/Center | 5331 W Orem Dr, Houston, TX 77045-5036 | 2017-04-03 |
| 1730328378 | Procare Community Resources, Inc. | Community/Behavioral Health | 5331 W Orem Dr, Houston, TX 77045-5036 | 2009-02-04 |
| 1255534442 | Everyday Health Managment Services | Clinic/Center | 5331 W Orem Dr, Houston, TX 77045-5036 | 2007-06-06 |
| 1639202906 | Gwendolyn A. Gibbs | Clinic/Center | 5331 W Orem Dr, Houston, TX 77045-5036 | 2007-03-14 |
| 1508999194 | Gibbs Care Home, Inc. | Clinic/Center | 5331 W Orem Dr, Houston, TX 77045-5036 | 2007-03-13 |
| 1366574303 | Gwendolyn Arnetta Guidry | Clinic/Center | 5331 W Orem Dr, Houston, TX 77045-5036 | 2007-03-12 |
| 1376675322 | Daybreak Home Health Nursing Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5331 W Orem Dr, Houston, TX 77045-5036 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822568 | Johnancia Latoya Jnobaptiste | Non-emergency Medical Transport (VAN) | 14010 Buffalo Speedway, Houston, TX 77045 | 2019-10-14 |
| 1407338866 | Maureen Chinyere Onyejiaka | Home Health Aide | 7306 Logcradle Dr, Houston, TX 77045 | 2018-09-02 |
| 1265924344 | Paradigm 7 Pharmacy Pllc | Pharmacy | 12154 Almeda Rd, Houston, TX 77045 | 2018-06-04 |
| 1710408448 | Ultimate Wellness Providers Co | Clinic/Center | 3203 Kelling Street, Houston, TX 77045 | 2017-07-03 |
| 1376086058 | Post Oak Dialysis & Kidney Center | Clinic/Center | 13211 S. Post Oak Rd, Houston, TX 77045 | 2016-11-29 |
| 1841688777 | Gilltop Pharmacy LLC | Pharmacy | 14522 South Post Oak, Ste 108a, Houston, TX 77045 | 2014-12-30 |
| 1699025510 | Anh Phuong Pham | Dentist | 4318 W Fuqua, Houston, TX 77045 | 2012-09-18 |
| 1144520354 | Fostering Opportunities Creating Unlimited Success | Foster Care Agency | 14211 Mccadden, Houston, TX 77045 | 2010-10-22 |
| 1922219351 | A.b. Hurd | Pharmacist | 4420 W. Orem, Suite B, Houston, TX 77045 | 2007-05-25 |
| 1053447607 | Donald Columbus Porter | Dentist | 13324 One Half Almeda Rd, Houston, TX 77045 | 2007-02-26 |
| Find all providers in zip 77045 | ||||
| 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 |
| 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.