Individual provider Active NPI

Renee Jafari, MA., LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1760953368
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74213 Issued in TX
Practice address
5206 FM 1960 Rd W Ste 103
Houston, TX 77069-4405
Phone
(832) 534-9292
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 74213 TX Primary

Addresses

Primary practice location

5206 FM 1960 Rd W Ste 103
Houston, TX 77069-4405

Mailing address

11743 Northpointe Blvd Apt 826
Tomball, TX 77377-5590
Phone (832) 274-9895

Other practice location 1

12238 Queenston Blvd Ste G
Houston, TX 77095-5351
Phone (832) 356-4654

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
74213TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: reneejafari@tdh.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1760953368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11743 NORTHPOINTE BLVD APT 826",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775590",
            "telephone_number": "832-274-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 FM 1960 RD W STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694405",
            "telephone_number": "832-534-9292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12238 Queenston Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770955351",
            "country_code": "US",
            "telephone_number": "832-356-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFARI",
        "first_name": "RENEE",
        "credential": "MA., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74213",
            "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 Oct 5, 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.

Verify at the official NPI Registry.