Individual provider Active NPI

Ebony Johnson Blue, LMHC

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1467839480
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61585624 Issued in WA
Practice address
2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823
Phone
(832) 604-4390
NPI assigned
Apr 28, 2015
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11199-125 WI
Mental Health Counselor 101YM0800X LH61585624 WA Primary
Professional Counselor 101YP2500X 70501 TX

Addresses

Primary practice location

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823

Mailing address

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823
Phone (832) 604-4390

Other practice location 1

7803 NE Fourth Plain Blvd
Vancouver, WA 98662-7294
Phone (360) 566-4432

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
LH61585624WAMDMental Health Counselor
11199-125WIMDMental Health Counselor
70501TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1467839480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947823",
            "telephone_number": "832-604-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947823",
            "telephone_number": "832-604-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7803 NE Fourth Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986627294",
            "country_code": "US",
            "telephone_number": "360-566-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "EBONY",
        "middle_name": "JOHNSON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11199-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61585624",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.