Individual provider Active NPI

Joni Villemez Comeaux, LPC, LCDC

  • Professional Counselor
  • Montgomery, TX
National Provider Identifier
1245793835
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78068 Issued in TX
Practice address
16955 Walden Rd Ste 109
Montgomery, TX 77356
Phone
(936) 444-9858
NPI assigned
Apr 10, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12409 TX
Professional Counselor 101YP2500X 78068 TX Primary

Addresses

Primary practice location

16955 Walden Rd Ste 109
Montgomery, TX 77356

Mailing address

16955 Walden Rd Ste 109
Montgomery, TX 77356-3228
Phone (936) 444-9858

Other practice location 1

15001 Walden Rd Ste 108
Montgomery, TX 77356-5303
Phone (936) 449-8053

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

LicenseStateTypeSpecialty
78068TXMDProfessional Counselor
12409TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Wellness PLLC CurrentSince Sep 15, 2019 Accepting new patients

Locations

16955 Walden Rd
Ste 109
Montgomery, TX 77356
Phone (936) 333-7020

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1245793835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16955 WALDEN RD STE 109",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563228",
            "telephone_number": "936-444-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16955 WALDEN RD STE 109",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "936-444-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15001 Walden Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773565303",
            "country_code": "US",
            "telephone_number": "936-449-8053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMEAUX",
        "first_name": "JONI",
        "middle_name": "VILLEMEZ",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.