Individual provider Active NPI

Sadie Bell Jolivette, LPC

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1053590604
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61722 Issued in TX
Practice address
19907 Mason Creek Dr
Katy, TX 77449-7491
Phone
(832) 790-7629
Fax
(281) 855-4063
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61722 TX Primary

Addresses

Primary practice location

19907 Mason Creek Dr
Katy, TX 77449-7491

Mailing address

19907 Mason Creek Dr
Katy, TX 77449-7491
Phone (832) 790-7629

Other identifiers 1

IdentifierTypeStateIssuer
187255801MedicaidTX

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1053590604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19907 MASON CREEK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497491",
            "telephone_number": "832-790-7629",
            "fax_number": "281-855-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19907 MASON CREEK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497491",
            "telephone_number": "832-790-7629",
            "fax_number": "281-855-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIVETTE",
        "first_name": "SADIE",
        "middle_name": "BELL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187255801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.