Individual provider Active NPI

Jessica Canfield Kafrouni, MA, M.ED., LPC, LCDC

  • Mental Health Counselor
  • Friendswood, TX
National Provider Identifier
1457873952
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74298 Issued in NU
Practice address
907 S Friendswood Dr Ste 209
Friendswood, TX 77546-5489
Phone
(281) 450-8375
NPI assigned
Jul 17, 2017
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13093 TX
Mental Health Counselor 101YM0800X 74298 NU Primary

Addresses

Primary practice location

907 S Friendswood Dr Ste 209
Friendswood, TX 77546-5489

Mailing address

907 S Friendswood Dr Ste 209
Friendswood, TX 77546-5489
Phone (281) 450-8375

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: Yes
  • 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)
Not enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
13093TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Canfield Otten Psychotherapy, PLLC Addiction (Substance Use Disorder) Past Accepting new patients

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1457873952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S FRIENDSWOOD DR STE 209",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465489",
            "telephone_number": "281-450-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S FRIENDSWOOD DR STE 209",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465489",
            "telephone_number": "281-450-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFROUNI",
        "first_name": "JESSICA",
        "middle_name": "CANFIELD",
        "credential": "MA, M.ED., LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13093",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "74298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.