Active NPI
Jonathan Ray Kearney, M.ED., LPC, LCDC
- Mental Health Counselor
- Kingwood, TX
National Provider Identifier
1972842896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 67134
- Practice address
- 300 Forest Center Dr
Apt#13106
Kingwood, TX 77339-5245 - Phone
- (832) 644-5026
- NPI assigned
- Feb 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11957 | TX | |
| Mental Health Counselor | 101YM0800X | 67134 | TX | Primary |
Addresses
Primary practice location
300 Forest Center Dr
Apt#13106
Kingwood, TX 77339-5245
Mailing address
300 Forest Center Dr
Apt#13106
Kingwood, TX 77339-5245
Phone (832) 644-5026
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67134 | TX | MD | Mental Health Counselor |
| 11957 | TX | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1972842896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FOREST CENTER DR",
"address_2": "APT#13106",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773395245",
"telephone_number": "832-644-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FOREST CENTER DR",
"address_2": "APT#13106",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773395245",
"telephone_number": "832-644-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "JONATHAN",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "M.ED., LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11957",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "67134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.