Active NPI
Jennifer Lynn Weatherly-Obani, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1154630382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61504
- Practice address
- 10303 Northwest Fwy Ste 508
Houston, TX 77092-8223 - Phone
- (832) 876-3252
- NPI assigned
- Oct 5, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61504 | TX | Primary |
Addresses
Primary practice location
10303 Northwest Fwy Ste 508
Houston, TX 77092-8223
Mailing address
10303 Northwest Fwy Ste 508
Houston, TX 77092-8223
Phone (832) 876-3252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 20, 2024 through Sep 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61504 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1154630382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10303 NORTHWEST FWY STE 508",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770928223",
"telephone_number": "832-876-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 NORTHWEST FWY STE 508",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770928223",
"telephone_number": "832-876-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERLY-OBANI",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61504",
"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 Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.