| Kinghaven Counseling Group Inc | |
|
6315 Gulfton St Suite 100 Houston TX 77081-1107 | |
| (713) 457-4372 | |
| (713) 457-0945 |
| Full Name | Kinghaven Counseling Group Inc |
|---|---|
| Speciality | Counselor |
| Location | 6315 Gulfton St, Houston, Texas |
| Authorized Official Name and Position | Shegun Olagundoye (CFO) |
| Authorized Official Contact | 7134574372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinghaven Counseling Group Inc 6315 Gulfton St Suite 100 Houston TX 77081-1107 Ph: (713) 457-4372 | Kinghaven Counseling Group Inc 6315 Gulfton St Suite 100 Houston TX 77081-1107 Ph: (713) 457-4372 |
| NPI Number | 1396807350 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 11/12/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 5597898510 |
|---|---|
| Medicare Enrollment ID | O20100728000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396807350 | NPI | - | NPPES |
| 158284301 | Medicaid | TX | |
| 3496-3497 | Other | TX | SUBSTANCE ABUSE FACILITY |
| Provider Name | Randall C Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043322068 PECOS PAC ID: 9335191006 Enrollment ID: I20050210000946 |
| Provider Name | Janet M Arceneaux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780692350 PECOS PAC ID: 0648217927 Enrollment ID: I20050408000868 |
| Provider Name | Matthew N Brams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639187263 PECOS PAC ID: 8820008303 Enrollment ID: I20060427000575 |
| Provider Name | Milton J Gantt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225199524 PECOS PAC ID: 1456450113 Enrollment ID: I20070620000560 |
| Provider Name | Judith A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932350972 PECOS PAC ID: 7618039959 Enrollment ID: I20081222000256 |
| Provider Name | Joel K Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588784664 PECOS PAC ID: 0648337311 Enrollment ID: I20120320000372 |
| Provider Name | Bushra Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730392549 PECOS PAC ID: 7911177597 Enrollment ID: I20130227000212 |
| Provider Name | Rahsheda Denise Perine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891096426 PECOS PAC ID: 1153556634 Enrollment ID: I20131109000312 |
| Provider Name | Benjamin E Wowo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295048528 PECOS PAC ID: 9335323807 Enrollment ID: I20140620000204 |
| Provider Name | Chinyere Egbuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811381262 PECOS PAC ID: 3971816737 Enrollment ID: I20150722005236 |
| Provider Name | Kathleen Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528151115 PECOS PAC ID: 9234120221 Enrollment ID: I20160226000326 |
| Provider Name | Feby James Kanatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497156673 PECOS PAC ID: 9133449754 Enrollment ID: I20160820000066 |
| Provider Name | Shahid Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457614505 PECOS PAC ID: 1951696053 Enrollment ID: I20170105000697 |
| Provider Name | Sara Miriam Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215180856 PECOS PAC ID: 7113200080 Enrollment ID: I20170220002209 |
| Provider Name | Michael Paul Doerflein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720223571 PECOS PAC ID: 0345500195 Enrollment ID: I20180216000273 |
| Provider Name | Fanny Egbe Nnabuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207930 PECOS PAC ID: 8123375219 Enrollment ID: I20180720000295 |
| Provider Name | Mercy Osaghae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972169332 PECOS PAC ID: 9638402373 Enrollment ID: I20190611002821 |
| Provider Name | Zhe Song |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144677337 PECOS PAC ID: 7416282512 Enrollment ID: I20190711002219 |
| Provider Name | Cordelia Egwim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435502 PECOS PAC ID: 1951736131 Enrollment ID: I20200116000335 |
| Provider Name | Charla Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689977084 PECOS PAC ID: 3375972821 Enrollment ID: I20200403000996 |
| Provider Name | Lilian Adaobi Elem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629634522 PECOS PAC ID: 2668803370 Enrollment ID: I20200513002257 |
| Provider Name | Brittany Thorne Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013408665 PECOS PAC ID: 3375964067 Enrollment ID: I20200604002595 |
| Provider Name | Amanda Kei Nall Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013148360 PECOS PAC ID: 5294151247 Enrollment ID: I20200820002323 |
| Provider Name | Lauren Deason Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649899493 PECOS PAC ID: 0244659639 Enrollment ID: I20201005001585 |
| Provider Name | Wilma Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033583430 PECOS PAC ID: 8022319888 Enrollment ID: I20201016001103 |
| Provider Name | Yolanda Crosby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831798909 PECOS PAC ID: 2567872740 Enrollment ID: I20201028002460 |
| Provider Name | Olapeju Fakeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124642327 PECOS PAC ID: 2163838251 Enrollment ID: I20210316001393 |
| Provider Name | Lisa Ann Fite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700485950 PECOS PAC ID: 2961811716 Enrollment ID: I20210506001386 |
| Provider Name | Margaret Iroanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972116127 PECOS PAC ID: 5890190193 Enrollment ID: I20210825001617 |
| Provider Name | Emmanuel Okon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649853359 PECOS PAC ID: 0840698999 Enrollment ID: I20211005000533 |
| Provider Name | Adaku Nwakego Njoku - Animashaun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164682431 PECOS PAC ID: 7416253919 Enrollment ID: I20211028000897 |
| Provider Name | Omagbitse Jagha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164181970 PECOS PAC ID: 5597157404 Enrollment ID: I20220126000347 |
| Provider Name | Cecilia Ufot Ragsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588329700 PECOS PAC ID: 5597159137 Enrollment ID: I20220225000185 |
| Provider Name | Ebika Eyong Mbuagbaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194335240 PECOS PAC ID: 7315322757 Enrollment ID: I20220921000408 |
| Provider Name | Gabrielle Flora Renee Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548905318 PECOS PAC ID: 8729464532 Enrollment ID: I20221003000576 |
| Provider Name | Jacqueline Mbuagbaw Fosah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164032975 PECOS PAC ID: 4587040308 Enrollment ID: I20221003000940 |
| Provider Name | Omotayo Y Sofela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033867007 PECOS PAC ID: 7517343197 Enrollment ID: I20221005001518 |
| Provider Name | Robyn Ann Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659095081 PECOS PAC ID: 7416323316 Enrollment ID: I20221018001872 |
| Provider Name | Adolf V Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013369420 PECOS PAC ID: 8325329550 Enrollment ID: I20221201001553 |
| Provider Name | Ajoke Kazeem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588241558 PECOS PAC ID: 6305219775 Enrollment ID: I20230306001645 |
| Provider Name | Samuel Olaoluwa Omolade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799141 PECOS PAC ID: 3577938281 Enrollment ID: I20230412000086 |
| Provider Name | Linyanta J Nwosu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134796337 PECOS PAC ID: 7517320369 Enrollment ID: I20230828002423 |
| Provider Name | Shadonna M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295215820 PECOS PAC ID: 9133576366 Enrollment ID: I20231109002812 |
| Provider Name | Adrianne Banks |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1578293486 PECOS PAC ID: 2163870742 Enrollment ID: I20231120001997 |
| Provider Name | Andrew Joseph Geraci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396174298 PECOS PAC ID: 6800246679 Enrollment ID: I20231220002954 |
| Provider Name | David Mario Levy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063508489 PECOS PAC ID: 3870944564 Enrollment ID: I20240106000869 |
| Provider Name | Jennifer Jean Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578966552 PECOS PAC ID: 5991144180 Enrollment ID: I20240422000393 |
| Provider Name | Jacqueline M Simien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376396424 PECOS PAC ID: 1153762786 Enrollment ID: I20240514003526 |
| Provider Name | Je'nae Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376032516 PECOS PAC ID: 6305287640 Enrollment ID: I20240516003983 |
| Provider Name | Shaquana R Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942668421 PECOS PAC ID: 2466893722 Enrollment ID: I20240517000246 |
| Provider Name | Vincent Chijioke Egbuchulam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750929212 PECOS PAC ID: 2163864950 Enrollment ID: I20240524000988 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |