Individual provider Active NPI

Jazmine Corley

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1417476334
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64693 Issued in TX
Practice address
8315 FM 723 Rd Ste 31
Richmond, TX 77406-5334
Phone
(832) 303-9950
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 64693 TX Primary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 64693 TX

Addresses

Primary practice location

8315 FM 723 Rd Ste 31
Richmond, TX 77406-5334

Mailing address

6550 White Tail CT
Richmond, TX 77406-2955
Phone (708) 890-7956

Other practice location 1

6550 White Tail Ct
Richmond, TX 77406-2955
Phone (708) 890-7956

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: No
  • 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
64693TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Single Specialty CurrentSince Apr 1, 2018 Accepting new patients
Peace and Serenity Therapy Services Clinical CurrentSince Oct 31, 2021 Accepting new patients
Baylor College of Medicine Single Specialty CurrentSince Apr 1, 2018 Accepting new patients
On Site Counseling,Inc. Clinical CurrentSince Aug 9, 2017 Accepting new patients

Locations

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

8315 FM 723 Rd
Ste 31
Richmond, TX 77406
Phone (708) 890-7956

14090 Southwest Fwy
Ste 300
Sugar Land, TX 77478
Phone (346) 433-1579

Organizations & group practices 4

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1417476334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 WHITE TAIL CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062955",
            "telephone_number": "708-890-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 FM 723 RD STE 31",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065334",
            "telephone_number": "832-303-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 White Tail Ct",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774062955",
            "country_code": "US",
            "telephone_number": "708-890-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "JAZMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64693",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "64693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.