Elijah Evin Warren-Jacques, LCDC-I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

16140 Kuykendahl Rd
Suite 106
Houston, TX 77068-3338

Phone

(713) 636-2964

Fax

(713) 636-9686

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1174910939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3342",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773833342",
            "telephone_number": "832-690-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16140 KUYKENDAHL RD",
            "address_2": "SUITE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683338",
            "telephone_number": "713-636-2964",
            "fax_number": "713-636-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN-JACQUES",
        "first_name": "ELIJAH",
        "middle_name": "EVIN",
        "credential": "LCDC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keleigh Amber Warnke, NNP-BC
• Kenneth Mathew Warnock II
• Alex Warr, MD
• Warren W. Simi, M.D., P.a.
• Jackie Yvette Warren-Jackson, FNP
• Kechia Virginia Warren-Joseph, CCC-SLP
• America A a L Warren, MD
• Andrew Joseph Warren, LPC, LCDC
• Brittney Warren, M.D.
• Cinthia Warren, LCSW, LCDC

• Addiction (Substance Use Disorder) Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.