Individual provider Active NPI

Jerome Thomas Javellana, LPC

  • Professional Counselor
  • Spring, TX
National Provider Identifier
1508643925
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92753 Issued in TX
Practice address
1544 Sawdust Rd Ste 290
Spring, TX 77380-2903
Phone
(281) 210-6677
Fax
(833) 536-1725
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 92753 TX Primary

Addresses

Primary practice location

1544 Sawdust Rd Ste 290
Spring, TX 77380-2903

Mailing address

8122 Spring Cypress Rd
Spring, TX 77379-3123
Phone (281) 210-6677

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
92753TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Pasqua, PSYD CurrentSince May 18, 2025 Accepting new patients

Locations

8122 Spring Cypress Rd
Spring, TX 77379
Phone (281) 210-6677

8122 Spring Cypress Rd
Ste 1303
Spring, TX 77379

1544 Sawdust Rd
Ste 290
The Woodlands, TX 77380
Phone (281) 210-6677

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1508643925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 SPRING CYPRESS RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793123",
            "telephone_number": "281-210-6677",
            "fax_number": "833-536-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD STE 290",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802903",
            "telephone_number": "281-210-6677",
            "fax_number": "833-536-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVELLANA",
        "first_name": "JEROME",
        "middle_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.