Individual provider Active NPI

Tia Jennings, LPC-S

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1508273608
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66593 Issued in TX
Practice address
13215 Dotson Rd Ste 210
Houston, TX 77070-4535
Phone
(281) 801-9913
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 66593 TX Primary
Mental Health Counselor 101YM0800X LH61557921 WA

Addresses

Primary practice location

13215 Dotson Rd Ste 210
Houston, TX 77070-4535

Mailing address

13215 Dotson Rd Ste 210
Houston, TX 77070-4535
Phone (281) 801-9913

Other practice location 1

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (832) 219-4021

Other practice location 2

16000 Barkers Point Ln Ste 115
Houston, TX 77079-4023
Phone (832) 219-4021

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
I20260127000217 TX Practitioner - Mental Health Counselor 9133663446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61557921WAMDMental Health Counselor
66593TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Now Counseling, LLC Current Accepting new patients

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1508273608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 DOTSON RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704535",
            "telephone_number": "281-801-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 DOTSON RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704535",
            "telephone_number": "281-801-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "832-219-4021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Barkers Point Ln Ste 115",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770794023",
            "country_code": "US",
            "telephone_number": "832-219-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "TIA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66593",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61557921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.