OrganizationActive
Self Center PLLC
NPI 1174235758 · Mental Health Counselor · Richmond, TX
Provider details
- NPI number
- 1174235758
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Natalie Jackson, Director(601) 807-5030
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1010 Williams Lake Dr
Richmond, TX 77469-4295
Phone: (601) 807-5030
Street-level locationGet directions
Mailing address
1010 Williams Lake Dr
Richmond, TX 77469-4295
Registry dates
- Enumerated
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.