Individual provider Active NPI

Adetomilola Aniyeloye-Jones, LPC

  • Professional Counselor
  • Humble, TX
National Provider Identifier
1669081725
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80116 Issued in TX
Practice address
19100 W Lake Houston Pkwy Ste 106
Humble, TX 77346-5139
Phone
(281) 570-9643
NPI assigned
Jul 24, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80116 TX Primary

Addresses

Primary practice location

19100 W Lake Houston Pkwy Ste 106
Humble, TX 77346-5139

Mailing address

19100 W Lake Houston Pkwy Ste 106
Humble, TX 77346-5139

Other identifiers 1

IdentifierTypeStateIssuer
455116810OtherTXAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Humble Direct
CONNECT URL info@houstonfamilycounseling.org

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

State licenses

LicenseStateTypeSpecialty
80116TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1669081725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY STE 106",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY STE 106",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465139",
            "telephone_number": "281-570-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIYELOYE-JONES",
        "first_name": "ADETOMILOLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "455116810",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Humble",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19100 W Lake Houston Pkwy Ste 106",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773465139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@houstonfamilycounseling.org",
            "affiliation": "N",
            "address_1": "19100 W Lake Houston Pkwy Ste 106",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773465139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.