1. Home
  2. Directory
  3. Texas
  4. Baytown
  5. Counselor
  6. NPI Profile

CAROLYN M DURHAM LPC
NPI 1659926004
Counselor - Professional in Baytown, TX

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
3818 DECKER DR, BAYTOWN, TX 77520(281) 424-7557(281) 424-7567 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 17, 2023, Aug 2, 2019 (2 updates tracked since 2019).

About Carolyn M Durham Lpc NPPES

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

CAROLYN M DURHAM LPC (NPI 1659926004) is an individual professional provider in Baytown, Texas, licensed in Texas (11094) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1659926004
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROLYN M DURHAMCredential: LPC
Location Address3818 DECKER DRBaytown, TX 77520-1662
Mailing Address3818 Decker DrBaytown, TX 77520-1662 · (281) 424-7557 · Fax (281) 424-7567
Phone(281) 424-7557
Fax(281) 424-7567
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 2, 2019
Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1659926004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 11094
3818 DECKER DR, Baytown, TX 77520
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn M Durham Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113361643
PECOS Enrollment IDI20240222003756
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Carolyn Durham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cabatherapy Services
Same address
Physical Therapist
3818 DECKER DR
Baytown, TX 77520
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1972631760 (281) 424-7557
The Resilience Center Of Houston, LLC
46 mi
Marriage & Family Therapist
14930 MUESCHKE RD STE 100
Cypress, TX 77433
  • Reassigned Medicare billing, Texas enrollment
  • 83 clinicians in this Medicare group
NPI 1821475039 (346) 206-3992

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

NORMA ARCENEAX-HUMPHREY P.T.A.
Physical Therapy Assistant
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
MR. JOHN M INFANTE P.T.
Physical Therapist
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
RAYMOND LUCILLE P.T.A.
Physical Therapy Assistant
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
NICHOLAS A DEAN PT, DPT
Physical Therapist
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
DUSTI ANN MALONE P.T.A.
Physical Therapy Assistant
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
JACQUELINE KAYE HODGES P.T.A.
Physical Therapy Assistant
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
CHRISTINE PIEPER-JOHNSON P.T.
Physical Therapist
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557
SHERI L HOFFEE P.T.
Physical Therapist
3818 DECKER DR
BAYTOWN, TX 77520
Harris County (281) 424-7557

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 Carolyn Durham's NPI number?

The NPI number for Carolyn Durham is 1659926004. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Carolyn Durham located?

Carolyn Durham practices at 3818 Decker Dr, Baytown, TX 77520. The listed phone number is (281) 424-7557.

What is Carolyn Durham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carolyn Durham enrolled in Medicare?

Yes. Carolyn Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carolyn Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Durham reassigns Medicare benefits to 2 organizations: Cabatherapy Services (Baytown, TX) and The Resilience Center Of Houston, LLC (Cypress, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Durham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carolyn Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Durham was last updated on January 22, 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.