Kenneth Anicete
Counselor, Mental Health in Stafford, TX. Individual provider (NPI-1).
NPI number1508750167
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1508750167
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Anicete
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2025
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 91574 | TX | Yes |
Practice location
10707 Corporate Dr Ste 135Stafford, TX 77477-4090
Phone 832-532-0129
Mailing address
18726 Spring Heather CtSpring, TX 77379-2780
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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