Individual provider Active NPI

Jamie Claire Patin, LCSW

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1851892558
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61965 Issued in TX
Practice address
900 Lovett Blvd
Houston, TX 77006-3908
Phone
(713) 221-7946
Fax
(832) 930-4306
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 61965 TX Primary

Addresses

Primary practice location

900 Lovett Blvd
Houston, TX 77006-3908

Mailing address

900 Lovett Blvd
Houston, TX 77006-3908
Phone (713) 221-7946

Other practice location 1

5757 Woodway Dr Ste 285
Houston, TX 77057-1533
Phone (713) 221-7946

Other practice location 2

5757 Woodway Dr Ste 285
Houston, TX 77057-1533
Phone (713) 221-7946

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

LicenseStateTypeSpecialty
61965TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ethos Prism, LLC Past Accepting new patients

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1851892558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LOVETT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063908",
            "telephone_number": "713-221-7946",
            "fax_number": "832-930-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LOVETT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063908",
            "telephone_number": "713-221-7946",
            "fax_number": "832-930-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 Woodway Dr Ste 285",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770571533",
            "country_code": "US",
            "telephone_number": "713-221-7946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 Woodway Dr Ste 285",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770571533",
            "country_code": "US",
            "telephone_number": "713-221-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIN",
        "first_name": "JAMIE",
        "middle_name": "CLAIRE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61965",
            "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 Mar 11, 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.

Verify at the official NPI Registry.