Individual provider Active NPI

Jillian Marie Goldman

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1205782547
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92515 Issued in TX
Practice address
16441 Space Center Blvd Ste C-100
Houston, TX 77058-2015
Phone
(281) 480-7554
NPI assigned
Mar 9, 2026
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 92515 TX Primary

Addresses

Primary practice location

16441 Space Center Blvd Ste C-100
Houston, TX 77058-2015

Mailing address

16441 Space Center Blvd Ste C-100
Houston, TX 77058-2015
Phone (281) 480-7554

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
I20260604004290 TX Practitioner - Mental Health Counselor 6305317868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1215 Lake Country Dr
Seabrook, TX 77586-4513

16441 Space Ctr Blvd
Suite C 100
Houston, TX 77058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92515TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carole and Ronald Krist Samaritan Counseling Center Professional CurrentSince May 26, 2026 Accepting new patients

Locations

16441 Space Center Blvd
#C100
Houston, TX 77058
Phone 28148075542743

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1205782547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16441 SPACE CENTER BLVD STE C-100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582015",
            "telephone_number": "281-480-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16441 SPACE CENTER BLVD STE C-100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582015",
            "telephone_number": "281-480-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.