Individual provider Active NPI

Carlin Joubert, CCP, THD

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1396329835
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Healing Minds Center Inc Pastoral CurrentSince May 16, 2021 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.

Verify at the official NPI Registry.