Individual provider Active NPI

Tawanda Shantell Heim-Jones, MS, LMFT-ASSOCIATE

  • Marriage & Family Therapist
  • Spring, TX
National Provider Identifier
1194401000
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204765 Issued in TX
Practice address
2162 Spring Stuebner Rd Ste 140
Spring, TX 77389-5299
Phone
(281) 667-8215
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204765 TX Primary

Addresses

Primary practice location

2162 Spring Stuebner Rd Ste 140
Spring, TX 77389-5299

Mailing address

2162 Spring Stuebner Rd
Suite 140 #3026
Spring, TX 77389
Phone (281) 667-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000096 TX Practitioner - Marriage and Family Therapist 8729511522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
204765TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Sep 21, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1194401000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 SPRING STUEBNER RD",
            "address_2": "SUITE 140 #3026",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "281-667-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 SPRING STUEBNER RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895299",
            "telephone_number": "281-667-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM-JONES",
        "first_name": "TAWANDA",
        "middle_name": "SHANTELL",
        "credential": "MS, LMFT-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.