Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124736434 Individual Practitioner Male Practitioner

Blaine Cordova

Counselor • Spring, TX

Professional Overview & Biography Verified Profile Summary

Blaine Cordova is a registered healthcare professional specializing in Counselor in Spring, TX. Practice services are available at 26010 OAK RIDGE DR STE 107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26010 Oak Ridge Dr Ste 107

Spring, TX 773801972

Telephone 2818150899

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Spring, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Spring, TX (3454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 39578

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Charles Hallmark

Psychologist

NPI 1275025553
Jessica Nunez , MA, LPA-IP

Counselor - Mental Health

NPI 1295557882

Master of Arts, LPAIP

NPI 1619398989

Licensed Psychologist

Dr. Allison Grodzki , PsyD

Psychologist - Clinical

NPI 1770969305

Doctor of Psychology (Psy.D.)

NPI 1841945615
Dr. Kennetha Frye , PhD

Psychologist - Clinical

NPI 1922551431

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2022

Registered at 26010 OAK RIDGE DR STE 107, SPRING, TX 773801972 (Tel: 2818150899)

📍
Updated Business Mailing Address November 07, 2022

Registered at 13824 WINDING PATH LN, WILLIS, TX 773781005 (Tel: 7138705516)

👤
Provider Name / Credentials Updated November 07, 2022

Recorded as BLAINE CORDOVA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2022

Counselor (License #39578 in TX)

🟢
Initial NPI Registration & Enumeration November 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124736434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2022
Last Update: November 07, 2022
Sole Proprietor: No

Mailing Address

13824 Winding Path Ln

Willis, TX 773781005

Phone: 7138705516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.