Jackiethsha Fluellen-Lake

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

95829 Issued in TX

Practice address

3730 Kirby Dr Ste 904
Houston, TX 77098-3994

Phone

(832) 484-2635

NPI assigned

Aug 28, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1265340517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR STE 904",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983994",
            "telephone_number": "832-484-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR STE 904",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983994",
            "telephone_number": "832-484-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUELLEN-LAKE",
        "first_name": "JACKIETHSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel June Floyd, PHD
• William Floyd Jr., M.D.
• Flu Clinics of Southeast Texas, Inc
• Flu Clinics of Southeast Texas, Inc.
• Latonya D Fluces
• Alyssa Fluker, PA-C
• Brent Thomas Fluker, PA-C
• Kelsey Ann Flurry, RPSGT
• Jill Ann Flury, PA-C
• Flux Metabolic Restoration Center PLLC

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.