Jamie Archer, LPC
Individual provider Active NPI Mental Health Counselor · Tomball, TX
NPI 1750839619 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1750839619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 85796 (TX)
- Practice address
- 22318 Wenbury Dr
Tomball, TX 77375-1179 - Phone
- (281) 401-9464
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85796 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap | Past | Accepting new patients | |
| Comprehensive Youth Services of Fresno, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 85796 | TX | Yes |
Addresses
Primary practice location
22318 Wenbury Dr
Tomball, TX 77375-1179
Mailing address
22318 Wenbury Dr
Tomball, TX 77375-1179
Phone (281) 401-9464
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All providers in Tomball, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.