Individual provider Active NPI

Jennifer Aimee Mouille, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1407467616
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79911 Issued in TX
Practice address
7815 Capri Cir
Houston, TX 77095-3453
Phone
(281) 745-2491
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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 79911 TX Primary

Addresses

Primary practice location

7815 Capri Cir
Houston, TX 77095-3453

Mailing address

8524 Highway 6 N Ste 427
Houston, TX 77095-2103

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HOUSTON Health Information Exchange (HIE)

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
79911TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1407467616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 HIGHWAY 6 N STE 427",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 CAPRI CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953453",
            "telephone_number": "281-745-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUILLE",
        "first_name": "JENNIFER",
        "middle_name": "AIMEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "endpointDescription": "Houston",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7815 Capri Cir",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770953453",
            "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 Aug 11, 2020; 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.