Mercedes Clement LPC PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MERCEDES CLEMENT LPC PA

Practice address

3205 Nederland Ave Unit 1
Nederland, TX 77627-7024

Phone

(409) 246-7887

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Mercedes ClementNPI 1609474634

Title

Licensed Professional Counselor

Phone

(409) 246-7887

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HEALING JOURNEYS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercedes Ludivina Clement, LPCI

  • Mental Health Counselor
  • Groves, TX
  • NPI 1609474634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1356165286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 NEDERLAND AVE UNIT 1",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277024",
            "telephone_number": "409-246-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 NEDERLAND AVE UNIT 1",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277024",
            "telephone_number": "409-246-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES CLEMENT LPC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "409-246-7887"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC.",
            "identifier": "1126571",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALING JOURNEYS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALING JOURNEYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Nederland, TX
• Providers in Nederland, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.