Active NPI
Enjalica Jenise Bryant, LPC-A
- Mental Health Counselor
- Katy, TX
National Provider Identifier
1760217632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 96288
- Practice address
- 25722 Kingsland Blvd
Katy, TX 77494-6705 - Phone
- (832) 934-9036
- NPI assigned
- Sep 3, 2024
- 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 | 96288 | TX | Primary |
Addresses
Primary practice location
25722 Kingsland Blvd
Katy, TX 77494-6705
Mailing address
21334 Park Run Dr
Katy, TX 77450-4810
Phone (832) 367-1611
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
| License | State | Type | Specialty |
|---|---|---|---|
| 96288 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1760217632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21334 PARK RUN DR",
"city": "KATY",
"state": "TX",
"postal_code": "774504810",
"telephone_number": "832-367-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25722 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774946705",
"telephone_number": "832-934-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "ENJALICA",
"middle_name": "JENISE",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "96288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.