Individual provider Active NPI

Jann C. Anguish, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1417518606
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
73307 Issued in TX
Practice address
12337 Jones Rd Ste 422
Houston, TX 77070-4845
Phone
(281) 826-9777
Fax
(281) 369-6531
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 73307 TX Primary

Addresses

Primary practice location

12337 Jones Rd Ste 422
Houston, TX 77070-4845

Mailing address

12337 Jones Rd Ste 422
Houston, TX 77070-4845
Phone (832) 493-6965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240203000415 TX Practitioner - Mental Health Counselor 7517300858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingdom Dwelling Christian Counseling LLCGroup PAC ID 0446693782, 3 clinicians

Practice addresses (Care Compare)

12337 Jones Rd
Suite 422
Houston, TX 77070-4845
Phone (281) 826-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73307TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Dwelling Christian Counseling, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Cypresswood Christian Counseling PLLC Past Accepting new patients

Locations

12337 Jones Rd
Ste 422
Houston, TX 77070
Phone (281) 826-9777

Organizations & group practices 2

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1417518606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12337 JONES RD STE 422",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704845",
            "telephone_number": "832-493-6965",
            "fax_number": "855-317-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 JONES RD STE 422",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704845",
            "telephone_number": "281-826-9777",
            "fax_number": "281-369-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUISH",
        "first_name": "JANN",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.