Individual provider Active NPI

Gracen Jinks, LMSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1265166326
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107927 Issued in TX
Practice address
401 Branard St FL 2
Houston, TX 77006-5015
Phone
(713) 529-0037
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107927 TX Primary

Addresses

Primary practice location

401 Branard St FL 2
Houston, TX 77006-5015

Mailing address

401 Branard St FL 2
Houston, TX 77006-5015
Phone (713) 529-0037

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
107927TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Montrose Center CurrentSince Jul 17, 2022 Accepting new patients
Montrose Counseling Center, Inc. PastSince Jul 17, 2022 Accepting new patients

Locations

401 Branard St
Fl 2
Houston, TX 77006
Phone (713) 529-0037

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1265166326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BRANARD ST FL 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065015",
            "telephone_number": "713-529-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BRANARD ST FL 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065015",
            "telephone_number": "713-529-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINKS",
        "first_name": "GRACEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "107927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2022; 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.