Individual provider Active NPI

Joni Adams, PSYD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1255374195
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32475 Issued in TX
Practice address
1956 Augusta Dr
Houston, TX 77057-3742
Phone
(713) 614-5141
Fax
(832) 548-1981
NPI assigned
Jun 14, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32475 TX Primary

Addresses

Primary practice location

1956 Augusta Dr
Houston, TX 77057-3742

Mailing address

9920 Cypresswood Dr
Houston, TX 77070-3400
Phone (281) 955-5585

Other identifiers 3

IdentifierTypeStateIssuer
175635503MedicaidTX
8D9982OtherTXBCBS
175635504MedicaidTX

Other names 1

  • Johnnie Adams Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
32475TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Evaluation & Mental Clinical Past Accepting new patients
Chupik Counseling & Consulting PA Past Accepting new patients
Progressive Behavioral Health, PLLC Clinical PastSince Apr 24, 2023 Accepting new patients
Senior Connections of Texas, PLLC Clinical Past Accepting new patients

Organizations & group practices 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1255374195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 CYPRESSWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703400",
            "telephone_number": "281-955-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 AUGUSTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573742",
            "telephone_number": "713-614-5141",
            "fax_number": "832-548-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JONI",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175635503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8D9982",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175635504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNIE",
            "last_name": "ADAMS",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.