Active NPI
Surabhi Jagdish
- Mental Health Counselor
- Bellaire, TX
National Provider Identifier
1750902094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 202339
- Practice address
- 5959 West Loop S Ste 100
Bellaire, TX 77401-2400 - Phone
- (713) 714-6372
- NPI assigned
- Apr 28, 2020
- Last updated
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 202339 | TX | Primary |
Addresses
Primary practice location
5959 West Loop S Ste 100
Bellaire, TX 77401-2400
Mailing address
5959 West Loop S Ste 100
Bellaire, TX 77401-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 29, 2025 through Sep 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202339 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1750902094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 WEST LOOP S STE 100",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 WEST LOOP S STE 100",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012400",
"telephone_number": "713-714-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGDISH",
"first_name": "SURABHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "202339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.