Individual provider Active NPI

Jenna Gimmler, LPC

  • Professional Counselor
  • The Woodlands, TX
National Provider Identifier
1457764573
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69089 Issued in TX
Practice address
719 Sawdust Rd., Suite 309
The Woodlands, TX 77380
Phone
(832) 813-5246
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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 69089 TX Primary

Addresses

Primary practice location

719 Sawdust Rd., Suite 309
The Woodlands, TX 77380

Mailing address

4625 Lillian St
Houston, TX 77007
Phone (936) 443-8135

Other names 1

  • Jenna Hebert Former name

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
I20240124001632 TX Practitioner - Mental Health Counselor 8921451139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69089TXMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Center at Houston and Harris County CurrentSince Jan 10, 2024 Accepting new patients

Locations

1300 Bay Area Blvd
#240A
Houston, TX 77058
Phone (713) 861-4849

4625 Lillian St
Houston, TX 77007
Phone (713) 861-4849

1600 Lake Front Cir
Ste 200
Spring, TX 77380
Phone (713) 867-4849

12300 Parc Crest Dr
Ste 140
Stafford, TX 77477
Phone (713) 861-4849

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1457764573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LILLIAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "936-443-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SAWDUST RD., SUITE 309",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "832-813-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMMLER",
        "first_name": "JENNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HEBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.