Individual provider Active NPI

Jennifer Lee, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1871927574
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP123821 Issued in TX
Practice address
9432 Katy Fwy # 460
Houston, TX 77055-6349
Phone
(832) 699-7922
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-RXN.0100310-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74149 NM
Family Nurse Practitioner 363LF0000X AP123821 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-RXN.0100609-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP123821 TX Primary

Addresses

Primary practice location

9432 Katy Fwy # 460
Houston, TX 77055-6349

Mailing address

3403 W T C Jester Blvd # 1525
Houston, TX 77018-5044
Phone (832) 786-1004

Other identifiers 2

IdentifierTypeStateIssuer
324863501MedicaidTX
8776NDOtherTXBCBS

Other names 1

  • Mrs. Jennifer I Fitts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022001095 TX Practitioner - Nurse Practitioner 6901031202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind and Brain, PCGroup PAC ID 6507295441, 6 clinicians

Practice addresses (Care Compare)

9432 Katy Fwy
Houston, TX 77055-6349
Phone (832) 699-7922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-RXN.0100310-C-NPCOMDFamily Nurse Practitioner
C-RXN.0100609-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
74149NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Brain, PC CurrentSince Apr 4, 2023 Accepting new patients

Locations

9432 Katy Fwy
Ste 460
Houston, TX 77055
Phone (832) 699-7922

9432 Katy Fwy
Ste 400
Houston, TX 77055
Phone (832) 563-5694

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1871927574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W T C JESTER BLVD # 1525",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185044",
            "telephone_number": "832-786-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 KATY FWY # 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556349",
            "telephone_number": "832-699-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-RXN.0100310-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "74149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123821",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-RXN.0100609-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP123821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324863501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8776ND",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FITTS",
            "middle_name": "I",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.