Active NPI
Carlin Joubert, CCP, THD
- Professional Counselor
- Houston, TX
National Provider Identifier
1396329835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 11603 Martin Luther King Blvd Ste B
Houston, TX 77048-2809 - Phone
- (346) 422-7022
- Fax
- (800) 772-7002
- NPI assigned
- May 11, 2021
- Last updated
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
11603 Martin Luther King Blvd Ste B
Houston, TX 77048-2809
Mailing address
11603 Martin Luther King Blvd Ste B
Houston, TX 77048-2809
Phone (346) 422-7022
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | healingminds0@gmail.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Minds Center Inc | Pastoral | Current | Accepting new patients |
Locations
11603 Martin Luther King Blvd
Ste B
Houston, TX 77048
Phone (346) 422-7022
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1396329835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11603 MARTIN LUTHER KING BLVD STE B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770482809",
"telephone_number": "346-422-7022",
"fax_number": "800-772-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11603 MARTIN LUTHER KING BLVD STE B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770482809",
"telephone_number": "346-422-7022",
"fax_number": "800-772-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOUBERT",
"first_name": "CARLIN",
"credential": "CCP, THD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "healingminds0@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11603 Martin Luther King Blvd Ste B",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770482809",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.