1376623553 NPI number — MS. PATRICIA A PEOPLES MS LPC

Table of content: MS. PATRICIA A PEOPLES MS LPC (NPI 1376623553)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376623553 NPI number — MS. PATRICIA A PEOPLES MS LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PEOPLES
Provider First Name:
PATRICIA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PEOPLES
Provider Other First Name:
PATTI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS LPC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1376623553
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1415 SWEET STONE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEABROOK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77586-4129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-221-4556
Provider Business Mailing Address Fax Number:
281-476-6424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1415 SWEET STONE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEABROOK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77586-4129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-221-4556
Provider Business Practice Location Address Fax Number:
281-476-6424
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  16637 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7473279 . This is a "AETNA MANAGED CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 189649 . This is a "COMPSYCH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 515837 . This is a "VALUE OPTIONS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10659952249 . This is a "HUMANA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 4167LC . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: MIS#278368000 . This is a "MAGELLAN MANAGED CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 028612201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1134760 . This is a "BEECHSTREET" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 100097894001 . This is a "APS HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10012395 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 239835 . This is a "MANAGED HEALTH NETWORK" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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