Individual provider Active NPI

Jasna Hendix, LCDC I

  • Counselor
  • Houston, TX
National Provider Identifier
1710605407
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
43010 Issued in TX
Practice address
14602 Presidio Square Blvd # 101
Houston, TX 77083-1654
Phone
(832) 390-8521
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 43010 TX Primary

Addresses

Primary practice location

14602 Presidio Square Blvd # 101
Houston, TX 77083-1654

Mailing address

14602 Presidio Square Blvd # 101
Houston, TX 77083-1654
Phone (832) 390-8521

Other identifiers 1

IdentifierTypeStateIssuer
43010OtherTXLCDC I

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
43010TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1710605407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 PRESIDIO SQUARE BLVD # 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831654",
            "telephone_number": "832-390-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14602 PRESIDIO SQUARE BLVD # 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831654",
            "telephone_number": "832-390-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDIX",
        "first_name": "JASNA",
        "credential": "LCDC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "43010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC I",
            "identifier": "43010",
            "state": "TX"
        }
    ],
    "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 Aug 18, 2022; 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.