Active NPI
Jacquie Youth Foundation
- Counseling Psychologist
- Houston, TX
National Provider Identifier
1750593521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- JACQUIE YOUTH FOUNDATION
- Practice address
- 1506 W Alabama St
Houston, TX 77006-4106 - Phone
- (713) 523-0122
- Fax
- (713) 523-1512
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Patterson
- Title
- Executive Director
- Phone
- (713) 523-0122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
1506 W Alabama St
Houston, TX 77006-4106
Mailing address
1506 W Alabama St
Houston, TX 77006-4106
Phone (713) 523-0122
National Provider Directory
National Provider DirectoryLocations
1506 W Alabama St
Houston, TX 77006
Phone (713) 523-0122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750593521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 W ALABAMA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064106",
"telephone_number": "713-523-0122",
"fax_number": "713-523-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 W ALABAMA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064106",
"telephone_number": "713-523-0122",
"fax_number": "713-523-1512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACQUIE YOUTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "713-523-0122"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"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 Aug 22, 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.