Individual provider Active NPI

Joanna Eckley, MA, LPC ASSOCIATE

  • Professional Counselor
  • Friendswood, TX
National Provider Identifier
1487381497
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87225 Issued in TX
Practice address
211 E Parkwood Ave Ste 208
Friendswood, TX 77546-5387
Phone
(713) 678-0403
NPI assigned
Aug 1, 2022
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 87225 TX Primary

Addresses

Primary practice location

211 E Parkwood Ave Ste 208
Friendswood, TX 77546-5387

Mailing address

211 E Parkwood Ave Ste 208
Friendswood, TX 77546-5387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 7, 2024 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
87225TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kali Scheschuk, PLLC Professional CurrentSince Aug 7, 2022 Accepting new patients

Locations

211 E Parkwood Ave
Ste 104
Friendswood, TX 77546
Phone (713) 678-0403

211 E Parkwood Ave
Ste 208
Friendswood, TX 77546
Phone (713) 678-0403

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1487381497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E PARKWOOD AVE STE 208",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PARKWOOD AVE STE 208",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465387",
            "telephone_number": "713-678-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLEY",
        "first_name": "JOANNA",
        "credential": "MA, LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.