Carolina De Jongh
Individual provider Active NPI Mental Health Counselor · Tomball, TX
NPI 1154048528 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1154048528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 85785 (TX)
- Practice address
- 21415 Snowblossom LN
Tomball, TX 77375-0490 - Phone
- (713) 865-2127
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85785 | TX | MD | Mental Health Counselor |
Interoperability endpoints
- carolina.de.jongh.1@31211.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 85785 | TX | Yes |
Addresses
Primary practice location
21415 Snowblossom LN
Tomball, TX 77375-0490
Mailing address
8750 Sunset Heights LN
Conroe, TX 77302-3436
Phone (713) 865-2127
Other practice location 1
8750 Sunset Heights Ln
Conroe, TX 77302-3436
Phone (713) 865-2127
Other providers in Tomball, TX
- Lisa Michelle Davis
- Rachelle Louise Davis
- Rita Shawn Davis
- Mahdokht Davoodi
- DDRG Physicians LLC
- Gabrielle De Villa
- Melanie Debakey
- Rachel Deloach
- Candice Martin Demattia
- Jason Kelly Demattia
All providers in Tomball, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.