Individual provider Active NPI

Jenisha Jenay Lizama Aguon, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1376486555
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108184 Issued in TX
Practice address
396 W Greens Rd Ste 1230
Houston, TX 77067-4502
Phone
(254) 426-9412
NPI assigned
Apr 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108184 TX Primary

Addresses

Primary practice location

396 W Greens Rd Ste 1230
Houston, TX 77067-4502

Mailing address

19631 Cat Spruce CT
Porter, TX 77365-7250
Phone (254) 426-9412

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: Yes
  • 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108184TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1376486555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19631 CAT SPRUCE CT",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657250",
            "telephone_number": "254-426-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 W GREENS RD STE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674502",
            "telephone_number": "254-426-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUON",
        "first_name": "JENISHA",
        "middle_name": "JENAY LIZAMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.