Jeniffer Kay Esclovon, MED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14572 Issued in TX

Practice address

6300 West Loop S Ste 110
Bellaire, TX 77401-2919

Phone

(409) 626-1329

Fax

(832) 852-5754

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellaire Ellie Clinic PCGroup PAC ID 4981065596, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Bellaire Ellie Clinic PC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Bellaire, TX
  • NPI 1487372132
  Medicare reassignment Care Compare group NPD Authorized official
• Tangled Wellness LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Houston, TX
  • NPI 1124756846
  NPD

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1649510694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 110",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012919",
            "telephone_number": "409-626-1329",
            "fax_number": "832-852-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 110",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012919",
            "telephone_number": "409-626-1329",
            "fax_number": "832-852-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Dairy Ashford Rd Ste 601",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770793022",
            "country_code": "US",
            "telephone_number": "281-645-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCLOVON",
        "first_name": "JENIFFER",
        "middle_name": "KAY",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14572",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazz Enriquez, PA-C
• Farwa Fatima Eraj, MD
• Escalante Healthcare & Wellness PLLC
• David Escalante, DC
• Alexander Hector Escamilla, DC
• Kelly Escobar-Vasquez
• Esper Concierge and Sleep Medicine, PA
• Nancy Esper, M.D.
• Shama Essa, OD
• Essential Medical Consultant (Essential Medical Diagnositcs)

• Mental Health Counselor in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.