Individual provider Active NPI

Janine Havard, LPC

  • Professional Counselor
  • Jasper, TX
National Provider Identifier
1588847149
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18076 Issued in TX
Practice address
1305 S Main St
Jasper, TX 75951-4739
Phone
(409) 489-1100
Fax
(936) 238-2092
NPI assigned
Dec 6, 2007
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18076 TX
Professional Counselor 101YP2500X 18076 TX Primary

Addresses

Primary practice location

1305 S Main St
Jasper, TX 75951-4739

Mailing address

120 Angelina St
Zavalla, TX 75980-6915
Phone (409) 489-1100

Other names 1

  • Janine Awtrey Former name

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
I20240118000128 TX Practitioner - Mental Health Counselor 6204060668 Practice locations: Jasper, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1305 S Main St
Jasper, TX 75951-4739
Phone (409) 489-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18076TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janinehavard@tdh.allscriptsdirect.net

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1588847149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ANGELINA ST",
            "city": "ZAVALLA",
            "state": "TX",
            "postal_code": "759806915",
            "telephone_number": "409-489-1100",
            "fax_number": "936-238-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S MAIN ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514739",
            "telephone_number": "409-489-1100",
            "fax_number": "936-238-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVARD",
        "first_name": "JANINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2025-04-12",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18076",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "AWTREY",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.