Active NPI
Jorge Luis Mendoza, M.ED., LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1649769944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74239
- Practice address
- 4625 Lillian St
Houston, TX 77007-5544 - Phone
- (713) 861-4849
- Fax
- (713) 867-7730
- NPI assigned
- May 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74239 | TX | Primary |
Addresses
Primary practice location
4625 Lillian St
Houston, TX 77007-5544
Mailing address
4625 Lillian St
Houston, TX 77007-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74239 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1649769944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 LILLIAN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 LILLIAN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075544",
"telephone_number": "713-861-4849",
"fax_number": "713-867-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JORGE",
"middle_name": "LUIS",
"credential": "M.ED., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.