Extending Creative Minds
NPI 1639524069ActiveOrganization· Preferred Provider Organization· Houston, TX
Preferred Provider Organization in Houston, Texas, registered in NPPES in May 2016. The authorized official on file is Lavonte Dickerson Mottley, LCSW, Counseling.
Overview
| NPI | 1639524069 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2016 |
| Last updated in NPPES | May 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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