MAE BETH'S PLACE (NPI# 1316173826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316173826 |
| Entity Type | Organization |
| Organization Name | MAE BETH'S PLACE |
| Practice Address |
15002 Monrad Dr Houston TX 77053-1345 |
| Practice Telephone | 8325195784 |
| Mailing Telephone | 8325195784 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | DR. ROSE MARIE JACKSON (DIRECTOR) |
| Authorized Official Telephone | 8325195784 |
| Authorized Official Credential | LMSW-AP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID TICKET NUMBER | 722757925 | 01 |
| Street Address |
15002 MONRAD DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77053-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065551 | The Genesis Project Usa | Private Vehicle | 16366 Paiter St, Houston, TX 77053 | 2018-06-05 |
| 1427549625 | Mary Joseph | Case Manager/Care Coordinator | 3830 Wimberley Hollow Ln, Houston, TX 77053 | 2018-05-23 |
| 1477076560 | Jermaine L Brown | Driver | 4631 Callery Creek Dr, Houston, TX 77053 | 2017-07-20 |
| 1164897948 | Almas Amin | Nurse Practitioner | 4411 Anderson Rd, Houston, TX 77053 | 2015-12-05 |
| 1740437201 | Senior Friends, Inc. | Case Manager/Care Coordinator | 8001 Mchard Rd., Suite 3, Houston, TX 77053 | 2008-08-26 |
| 1861697799 | Karing Hands Homes Hcs | Counselor | 4422 Knottynold, Houston, TX 77053 | 2007-06-20 |
| 1356372148 | Bosede O Adetunji | Licensed Practical Nurse | 15738 Boonridge Rd, Houston, TX 77053 | 2006-07-06 |
| 1679546642 | Joseph Ervin Hawkins | Counselor | 4319 Highpoint Lane, Houston, TX 77053 | 2006-02-09 |
| 1831352442 | Evette Michelle Tryals-broussard | Registered Nurse | 4631 Knottynold Ln, Houston, TX 77053-1103 | 2008-07-03 |
| 1164816021 | Clinton Broussard | Non-emergency Medical Transport (VAN) | 4631 Knottynold Ln, Houston, TX 77053-1103 | 2015-03-27 |
| Find all providers in zip 77053 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1568061992 | Brittany Lewis | Counselor | 15355 Vantage Pkwy W # 235, Houston, TX 77032-1975 | 2020-10-16 |
| 1548867518 | Shiarnice T. Burns | Counselor | 7324 Southwest Fwy Ste 2-460o, Houston, TX 77074-2012 | 2020-10-02 |
| 1467069104 | Nadia Nabavi | Counselor | 6430 Richmond Ave Ste 380, Houston, TX 77057-5989 | 2020-09-27 |
| 1649885385 | Caramellow Owens | Counselor | 15355 Vantage Pkwy W, Houston, TX 77032-1975 | 2020-09-10 |
| 1164037933 | Keyishi Peters | Counselor | 1826 Hamlin Valley Dr, Houston, TX 77090-2015 | 2020-09-09 |
| 1316550437 | Delfierro Counseling | Counselor | 110 Cypress Station Dr Ste 157, Houston, TX 77090-1626 | 2020-08-28 |
| 1437760238 | Elizabeth Hightower Stanley | Counselor | 2011 Possum Creek Rd, Houston, TX 77017-6709 | 2020-08-14 |
| 1689282360 | Chavontreal Rochelle Allen | Counselor | 8428 Woodward St, Houston, TX 77051-1332 | 2020-07-17 |
| 1184232290 | Sherod Burnett Coleman | Counselor | 3525 Sage Rd Apt 1508, Houston, TX 77056-7026 | 2020-07-15 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MAE BETH'S PLACE.
| 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.