Jessie Queen Blakely, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89746 Issued in TX

Practice address

5225 Katy Fwy Ste 103
Houston, TX 77007-2263

Phone

(832) 225-8518

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eddins Counseling Group, PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1528490364
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1083337851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14630 BROADGREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796426",
            "telephone_number": "225-773-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 KATY FWY STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072263",
            "telephone_number": "832-225-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "JESSIE",
        "middle_name": "QUEEN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessie@eddinscounseling.com",
            "affiliation": "N",
            "address_1": "5225 Katy Fwy Ste 103",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770072263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stefanie Blake, RBT
• Tiffany K Blake
• Wendy M Blake
• Gail Elizabeth Blakely, M.D.
• Jessica Blakely, PA-C
• Monica Blakely
• Richard Blakely, M.D.
• Bryan A Blakeny, LCSW
• Blakes Blessing Health Care Inc.
• Mary Janella Blakey

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.