Individual provider Active NPI

Shundrika Jones, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1376135236
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82507 Issued in TX
Practice address
1235 North Loop W Ste 918
Houston, TX 77008-4707
Phone
(713) 907-8225
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82507 TX Primary

Addresses

Primary practice location

1235 North Loop W Ste 918
Houston, TX 77008-4707

Mailing address

15035 Raffia Leave Way
Houston, TX 77090-5016
Phone (334) 730-8010

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
82507TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Psychotherapy, PLLC Mental Health CurrentSince Mar 1, 2021 Accepting new patients

Locations

9803 Highway 242
Ste 142
Conroe, TX 77385

1235 North Loop W
Ste 918
Houston, TX 77008
Phone (713) 482-1266

Organizations & group practices 1

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1376135236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15035 RAFFIA LEAVE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905016",
            "telephone_number": "334-730-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NORTH LOOP W STE 918",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084707",
            "telephone_number": "713-907-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHUNDRIKA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82507",
            "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 May 4, 2021; 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.