Jorge Luis Anteliz, LPC;LMHC; LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69402 Issued in TX

Practice address

10060 Fuqua Street
Houston, TX 77089

Phone

(713) 948-7964

NPI assigned

Nov 23, 2007

Last updated

Sep 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1528249190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 BLUE MIST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984821",
            "telephone_number": "713-732-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 FUQUA STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77089",
            "telephone_number": "713-948-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELIZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LPC;LMHC; LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9296",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "476-1",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Anselmo
• Lindsay Anselmo, RD
• John A Ansiaux
• George Naah Ansoanuur, MD
• Answer Healthcare Incorporated
• Elizabeth Zita Antholzner, PA-C
• Anthony Anazonwu (Patient Care Technicians)
• Anthony Anhtuan Ly D.D.S., P.a.
• Anthony Chavez M.D.P.a.
• Anthony Cubb MD PA (green oaks medical clinic)

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.