KINGHAVEN COUNSELING GROUP INC – Case Management Agency, NPI 1396807350
Case Management Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KINGHAVEN COUNSELING GROUP INC
11811 Fm 1960 Rd W Ste 130
Houston, TX 770653880
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Location
11455 Fallbrook Dr Ste 101
Houston, TX 770654266
Phone: (713) 457-4372
Type: Location
3025 E Renner Rd Ste 120
Richardson, TX 750823581
Phone: (214) 257-0682
Fax: (713) 457-0945
Type: Location
3425 Highway 6 Ste 102
Sugar Land, TX 774784439
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Location
1420 Farm to Market 1960 Bypass Rd E
Suite 116
Humble, TX 77338
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Location
1420 Farm to Market 1960 bypass road E
Suite 116
Humble, TX 77338
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Location
6315 Gulfton St
Suite 100
Houston, TX 770811107
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Location
6100 HILLCROFT AVE STE 642
HOUSTON, TX 770811009
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Location
6315, Gulfton Street, Houston, Harris County, Texas, 77081, United States
SUITE 100
HOUSTON, TX 770811107
Phone: (713) 457-4372
Fax: (713) 457-0945
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (981 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100728000390 | O | Clinic/Group Practice | TX | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77065)
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