Provider Demographics
NPI:1063905693
Name:CAPRON, KENISHA (LPC, LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KENISHA
Middle Name:
Last Name:CAPRON
Suffix:
Gender:F
Credentials:LPC, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22203 IMPERIOUS PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1389
Mailing Address - Country:US
Mailing Address - Phone:510-692-0990
Mailing Address - Fax:
Practice Address - Street 1:7457 HARWIN DR STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2025
Practice Address - Country:US
Practice Address - Phone:713-429-5114
Practice Address - Fax:888-381-3767
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83380101YP2500X
TX203912106H00000X
171M00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor