Active NPI
Monica Jerez
- Professional Counselor
- Houston, TX
National Provider Identifier
1871106690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82824
- Practice address
- 11999 Katy Fwy Ste 150P
Houston, TX 77079-1604 - Phone
- (832) 463-1228
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 82824 | TX | Primary |
Addresses
Primary practice location
11999 Katy Fwy Ste 150P
Houston, TX 77079-1604
Mailing address
325 Bunker Hill Rd
Houston, TX 77024-6409
Phone (832) 618-7124
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SimplePractice |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2025 through Jan 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82824 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1871106690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 BUNKER HILL RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770246409",
"telephone_number": "832-618-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11999 KATY FWY STE 150P",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770791604",
"telephone_number": "832-463-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEREZ",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82824",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"address_1": "11999 Katy Fwy Ste 150P",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770791604",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 31, 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.