Individual provider Active NPI

Giovanna Henriquez Pennick, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1316633068
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82048 Issued in TX
Practice address
4326 Tidewater Dr
Houston, TX 77045-4342
Phone
(832) 721-8352
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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 82048 TX Primary

Addresses

Primary practice location

4326 Tidewater Dr
Houston, TX 77045-4342

Mailing address

4326 Tidewater Dr
Houston, TX 77045-4342
Phone (832) 721-8352

Other names 1

  • Giovanna Soraya Henriquez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1316633068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 TIDEWATER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454342",
            "telephone_number": "832-721-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 TIDEWATER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454342",
            "telephone_number": "832-721-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNICK",
        "first_name": "GIOVANNA",
        "middle_name": "HENRIQUEZ",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIOVANNA",
            "last_name": "HENRIQUEZ",
            "middle_name": "SORAYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.