KENNETH WIBOWO PRANOTO
NPI 1619736071
Counselor - Mental Health in Houston, TX

Active since March 18, 2024
2425 HOLLY HALL ST APT A4, HOUSTON, TX 77054(832) 409-8767 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Wibowo Pranoto NPPES

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

KENNETH WIBOWO PRANOTO (NPI 1619736071) is an individual mental health provider in Houston, Texas, licensed in Texas (108149) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1619736071
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH WIBOWO PRANOTO
Location Address2425 HOLLY HALL ST APT A4Houston, TX 77054-3930
Mailing Address2425 Holly Hall St Apt A4Houston, TX 77054-3930 · (832) 409-8767
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1619736071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 108149
2425 HOLLY HALL ST APT A4, Houston, TX 77054

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
2425 HOLLY HALL ST APT A4
HOUSTON, TX 77054

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 Pranoto's NPI number?

The NPI number for Kenneth Pranoto is 1619736071. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Kenneth Pranoto located?

Kenneth Pranoto practices at 2425 Holly Hall St Apt A4, Houston, TX 77054. The listed phone number is (832) 409-8767.

What is Kenneth Pranoto's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Pranoto was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.