Jacqueline Booker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80070 Issued in TX

Practice address

24200 Southwest Fwy Ste 402-113
Rosenberg, TX 77471-5984

Phone

(713) 443-8283

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mys Counseling & Assessment PLLC

  • Mental Health Counselor
  • Manvel, TX
  • NPI 1144879586

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1780211482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 8TH ST",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774711925",
            "telephone_number": "713-443-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 SOUTHWEST FWY STE 402-113",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715984",
            "telephone_number": "713-443-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc.
• Bio-Medical Applications of Texas, Inc.
• Ngombe Yared Bitendelo, PMHNP-BC
• Monique Yevette Blevins, RBT
• Leah Danae Bonno, BCBA
• Evelyn Boykins
• Nikki Bradley
• Britannia Brascom
• Jasmin Bravo, RBT
• Brazos Bend Guardianship Services

• Professional Counselor in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.