Active NPI
Jimmy Sebastian, LCSW, LCDC, PHD
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1356027494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64388
- Practice address
- 9401 Southwest Fwy
Houston, TX 77074-1407 - Phone
- (713) 970-7000
- NPI assigned
- Jun 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16550 | TX | |
| Clinical Social Worker | 1041C0700X | 64388 | TX | Primary |
Addresses
Primary practice location
9401 Southwest Fwy
Houston, TX 77074-1407
Mailing address
9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000
Other practice location 1
6160 South Loop East,
Judge Ed Emmit Jail Diversion Center
Houston, TX 77087
Phone (713) 970-3367
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16550 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1356027494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-7000"
}
],
"practiceLocations": [
{
"address_1": "6160 South Loop East,",
"address_2": "Judge Ed Emmit Jail Diversion Center",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77087",
"country_code": "US",
"telephone_number": "713-970-3367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "JIMMY",
"name_prefix": "Dr.",
"credential": "LCSW, LCDC, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-23",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16550",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "64388",
"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 Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.