Active NPI
Enlightened Souls, PLLC
- Professional Counselor
- Stafford, TX
National Provider Identifier
1063802908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68068
- Legal business name
- ENLIGHTENED SOULS, PLLC
- Practice address
- 501 Murphy Rd
Stafford, TX 77477-5417 - Phone
- (713) 539-5727
- NPI assigned
- Jan 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jasmine Dominique Blue, M.S, M. A, LPC
- Title
- Ceo
- Phone
- (713) 539-5727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68068 | TX | Primary |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
501 Murphy Rd
Stafford, TX 77477-5417
Mailing address
15818 Whiteglade LN
Houston, TX 77084-6800
Phone (713) 539-5727
Other practice location 1
3726 Bent Springs Ln
Katy, TX 77449-8142
Phone (713) 539-5727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
501 Murphy Rd
Stafford, TX 77477
Phone (713) 539-5727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1063802908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15818 WHITEGLADE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770846800",
"telephone_number": "713-539-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MURPHY RD",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775417",
"telephone_number": "713-539-5727"
}
],
"practiceLocations": [
{
"address_1": "3726 Bent Springs Ln",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774498142",
"country_code": "US",
"telephone_number": "713-539-5727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENLIGHTENED SOULS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BLUE",
"authorized_official_first_name": "JASMINE",
"authorized_official_middle_name": "DOMINIQUE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-539-5727",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S, M. A, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68068",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.