NPIMap

Organization Active NPI

Distinctive Counseling and Consulting PLLC

  • Counselor
  • Corpus Christi, TX
National Provider Identifier
1891383345
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DISTINCTIVE COUNSELING AND CONSULTING PLLC
Practice address
4646 Corona Dr Ste 216
Corpus Christi, TX 78411-4386
Phone
(361) 945-3084
Fax
(361) 724-3306
NPI assigned
Jan 8, 2021
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Jinnelle Veronique Powell, LPC-SNPI 1346588381
Title
Owner
Phone
(361) 945-3084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4646 Corona Dr Ste 216
Corpus Christi, TX 78411-4386

Mailing address

14729 County Road 1470
Odem, TX 78370-4208
Phone (361) 945-3084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205004302 TX Part B Supplier - Clinic/Group Practice 1153778774 Receives reassigned benefits from 18 practitioners
Practice locations: Corpus Christi, TX; Robstown, TX; Greenville, TX

National Provider Directory

National Provider Directory

Locations

11269 Leopard St
Corpus Christi, TX 78410
Phone (361) 547-5541

4646 Corona Dr
Ste 158
Corpus Christi, TX 78411
Phone (210) 260-0720

5959 S Staples St
Ste 214
Corpus Christi, TX 78413

301 Interstate Highway 30
Greenville, TX 75402
Phone (361) 547-5541

422 E Avenue B
Robstown, TX 78380
Phone (361) 547-5541

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1891383345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14729 COUNTY ROAD 1470",
            "city": "ODEM",
            "state": "TX",
            "postal_code": "783704208",
            "telephone_number": "361-945-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 216",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114386",
            "telephone_number": "361-945-3084",
            "fax_number": "361-724-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JINNELLE",
        "authorized_official_middle_name": "VERONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-945-3084",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.