Active NPI
Jennifer Marie Marroquin, LCDC
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1003181280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10019
- Practice address
- 8876 Gulf Fwy Ste 420
Houston, TX 77017-6544 - Phone
- (713) 527-8558
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10019 | TX | Primary |
Addresses
Primary practice location
8876 Gulf Fwy Ste 420
Houston, TX 77017-6544
Mailing address
4625 Abner Dr
Corpus Christi, TX 78411-2801
Phone (361) 510-1742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10019 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1003181280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 ABNER DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112801",
"telephone_number": "361-510-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8876 GULF FWY STE 420",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770176544",
"telephone_number": "713-527-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.