Organization Active NPI

Mental Vitamins PLLC

Doing business as Ajana Therapy & Clinical Services

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1639846330
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MENTAL VITAMINS PLLC
Doing business as
Ajana Therapy & Clinical Services
Practice address
1302 Waugh Dr # 538
Houston, TX 77019-3908
Phone
(832) 387-5735
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Jessica Eiseman, MS, LPC-S, NCCNPI 1740621721
Title
Owner & Clinical Director
Phone
(832) 387-5735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1302 Waugh Dr # 538
Houston, TX 77019-3908

Mailing address

1302 Waugh Dr # 538
Houston, TX 77019-3908
Phone (832) 387-5735

Other names 1

  • Ajana Therapy & Clinical Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1639846330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WAUGH DR # 538",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193908",
            "telephone_number": "832-387-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 WAUGH DR # 538",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193908",
            "telephone_number": "832-387-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL VITAMINS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "EISEMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-387-5735",
        "authorized_official_credential": "MS, LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ajana Therapy & Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.