Active NPI
Christie Juawice Fernandez, LPC-I
- Mental Health Counselor
- Kingwood, TX
National Provider Identifier
1174764898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63946
- Practice address
- 2807 Kings Crossing Dr
Ste. 122
Kingwood, TX 77345-5450 - Phone
- (832) 233-2086
- NPI assigned
- Mar 9, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63946 | TX | Primary |
Addresses
Primary practice location
2807 Kings Crossing Dr
Ste. 122
Kingwood, TX 77345-5450
Mailing address
2807 Kings Crossing Dr
Ste. 122
Kingwood, TX 77345-5450
Phone (832) 233-2086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63946 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1174764898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 KINGS CROSSING DR",
"address_2": "STE. 122",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773455450",
"telephone_number": "832-233-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 KINGS CROSSING DR",
"address_2": "STE. 122",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773455450",
"telephone_number": "832-233-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "CHRISTIE",
"middle_name": "JUAWICE",
"name_prefix": "Mrs.",
"credential": "LPC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "63946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.