MARYSSA K SQUARE (NPI# 1871074443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871074443 |
| Entity Type | Individual |
| Full Name | MARYSSA K SQUARE |
| Practice Address |
2101 Crawford St Houston TX 77002-8942 |
| Practice Telephone | 7137399725 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2101 CRAWFORD ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872365 | Johnnie L. Rose | Psychiatry & Neurology | 2101 Crawford St, Ste 205, Houston, TX 77002-8941 | 2005-06-27 |
| 1619445707 | Anji Montessa Fesler | Social Worker | 2101 Crawford St, Houston, TX 77002-8942 | 2018-11-06 |
| 1396238986 | Tandra Renette Haynes | Counselor | 2101 Crawford St, Houston, TX 77002-8942 | 2018-06-08 |
| 1265930622 | Courtney Espinoza | Counselor | 2101 Crawford St, Houston, TX 77002-8942 | 2018-01-31 |
| 1134666282 | Workers Occupational Rehab Center, Pa | General Practice | 2101 Crawford St, Suite 207, Houston, TX 77002-8942 | 2017-01-27 |
| 1578008280 | Deslaune Burns | Counselor | 2101 Crawford St, Suite 208, Houston, TX 77002-8942 | 2017-01-04 |
| 1043691017 | Midtown Family Clinic, Inc. | General Practice | 2101 Crawford St, Suite 208, Houston, TX 77002-8942 | 2015-06-15 |
| 1285036855 | Care Family Practice, Inc. | Otolaryngology | 2101 Crawford St, Suite 309, Houston, TX 77002-8942 | 2014-09-25 |
| 1922410422 | J. Jesus Diaz M.d., P.a | Clinic/Center | 2101 Crawford St, Suite 208, Houston, TX 77002-8942 | 2014-06-02 |
| 1811255029 | Ka-ron Y. Wade Dds,pa | Clinic/Center | 2101 Crawford St, 103, Houston, TX 77002-8942 | 2012-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1306445143 | The Journey School of Houston | Counselor | 2025 W 11th St, Houston, TX 77008-6320 | 2020-10-22 |
| 1467059998 | D'jalon J Bell | Counselor | 1255 Eldridge Pkwy Apt 222, Houston, TX 77077-2163 | 2020-10-07 |
| 1770190100 | Amy Senftleber-makopoulos | Counselor | 3131 West Loop S Apt 529, Houston, TX 77027-6138 | 2020-09-29 |
| 1073120788 | Blossom Tree Counseling | Counselor | 14405 Walters Rd Ste 604, Houston, TX 77014-1551 | 2020-09-26 |
| 1174130280 | Candrea Lucas | Counselor | 1755 Crescent Plaza Dr Apt 3036, Houston, TX 77077-5766 | 2020-09-23 |
| 1710592902 | Cassandra Johnson | Counselor | 14318 Alaman Dr, Houston, TX 77090-2488 | 2020-09-14 |
| 1407467616 | Jennifer Aimee Mouille | Counselor | 7815 Capri Cir, Houston, TX 77095-3453 | 2020-08-11 |
| 1477163079 | Liason Conselining Service | Counselor | 5311 Kirby Dr Ste 101, Houston, TX 77005-1315 | 2020-08-07 |
| 1043828999 | Paulette Maureen Edwards | Counselor | 9419 Stonehouse Ln, Houston, TX 77025-4030 | 2020-07-16 |
| 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.