Jinan Amra, M.S
Individual provider Active NPI Marriage & Family Therapist · Houston, TX
NPI 1639422769 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1639422769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 202724 (TX)
- Practice address
- 7001 Corporate Dr Ste 120
Houston, TX 77036-5113 - Phone
- (713) 773-0803
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240531002851 | TX | Practitioner - Marriage and Family Therapist | 1254773526 | Reassigns benefits to 1 organization |
| I20240610003019 | FL | Practitioner - Marriage and Family Therapist | 1254773526 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT1356 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| El Camino Counseling, PLLC | Mental Health | Past | Accepting new patients |
| Korean American Family Services, Inc. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMT1356 | FL | |
| Marriage & Family Therapist | 106H00000X | 202724 | TX | Yes |
Addresses
Primary practice location
7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Mailing address
7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone (713) 773-0803
Other practice location 1
10190 Katy Fwy
Ste 240
Houston, TX 77043-5236
Phone (713) 647-0002
Other providers in Houston, TX
- Ample Mental Health Solutions
- Ample Mental Health Solutions, LLC
- Ampt, LLC
- Ampt, LLC
- Amr Care Group Inc
- Nasir Khalid Amra
- Mojgan Amrikachi
- Amrit N. Achari MD PA
- Amrit Thandi Mdpa
- Farah Amro
All providers in Houston, TX · Marriage & Family Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.