Jheri Walters, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52953 Issued in TX

Practice address

24044 Cinco Village Center Blvd
Ste 100 PMB 29
Katy, TX 77494-1608

Phone

(346) 787-0767

NPI assigned

Feb 15, 2013

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

Other names 1

• Jheri Bashen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Bashen Behavioral Health PLLC

  • Community/Behavioral Health Agency
  • Katy, TX
  • NPI 1699415828
  NPD Authorized official
• Innovations Counseling and Consulting PLLC

  • Professional Counselor
  • Houston, TX
  • NPI 1174857189
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1174863955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD",
            "address_2": "STE 100 PMB 29",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941608",
            "telephone_number": "346-787-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD",
            "address_2": "STE 100 PMB 29",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941608",
            "telephone_number": "346-787-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JHERI",
        "name_prefix": "Mrs.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.bashenbehavioralhealth.com",
            "affiliation": "N",
            "address_1": "24044 Cinco Village Center Blvd",
            "address_2": "Ste 100 PMB 29",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774941608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JHERI",
            "last_name": "BASHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniela Wall, PHARMD
• Bob Wallace
• Cameron S Wallace, D.D.S.
• Tara Wallace
• Melinda Walls, CCC-SLP
• Dawnna Marie Walton, M.D.
• Sam Wan, CMT
• Bing Qing Wang, DDS
• Chang Wang
• Connie Mengyan Wang, M.D.

• Clinical Social Worker in Katy, TX
• Providers in Katy, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.