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KENNETH MEDLOCK LCDC, CEAP
NPI 1396458899
Counselor - Addiction (Substance Use Disorder) in Houston, TX

Active since December 29, 2022
9950 TOWN PARK DR APT 1202, HOUSTON, TX 77036(832) 754-8001 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenneth Medlock Lcdc, Ceap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MEDLOCK LCDC, CEAP (NPI 1396458899) is an individual addiction (substance use disorder) provider in Houston, Texas, licensed in Texas (5845) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1396458899
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNETH MEDLOCKCredential: LCDC, CEAP
Location Address9950 TOWN PARK DR APT 1202Houston, TX 77036-2356
Mailing Address9950 Town Park Dr Apt 1202Houston, TX 77036-2356 · (832) 754-8001
Phone(832) 754-8001
Sole ProprietorYes
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 28, 2022
✔ NPI 1396458899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 5845
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 33084 (TX)
9950 TOWN PARK DR APT 1202, Houston, TX 77036
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Medlock's NPI number?

The NPI number for Kenneth Medlock is 1396458899. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Kenneth Medlock located?

Kenneth Medlock practices at 9950 Town Park Dr Apt 1202, Houston, TX 77036. The listed phone number is (832) 754-8001.

What is Kenneth Medlock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Medlock was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.