Active NPI
Jenai Tidwell, LPC-S
- Professional Counselor
- Houston, TX
National Provider Identifier
1972847093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69448
- Practice address
- 7660 Woodway Dr Ste 585
Houston, TX 77063-1529 - Phone
- (832) 831-8379
- Fax
- (832) 831-8388
- NPI assigned
- Nov 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 69448 | TX | |
| Professional Counselor | 101YP2500X | 69448 | TX | Primary |
Addresses
Primary practice location
7660 Woodway Dr Ste 585
Houston, TX 77063-1529
Mailing address
7660 Woodway Dr Ste 585
Houston, TX 77063-1529
Phone (832) 831-8379
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7660 Woodway Dr
Suite 585
Houston, TX 77063-1529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69448 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fowler and Tidwell PLLC | Current | Accepting new patients | |
| Fowler and Tidwell PLLC | Current | Accepting new patients | |
| LG Counseling, PLLC | Past | Accepting new patients |
Locations
7660 Woodway Dr
Ste 585
Houston, TX 77063
Phone (832) 831-8379
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1770942989
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1447660295
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Katy, TX
- NPI 1568793339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1972847093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7660 WOODWAY DR STE 585",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770631529",
"telephone_number": "832-831-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7660 WOODWAY DR STE 585",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770631529",
"telephone_number": "832-831-8379",
"fax_number": "832-831-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIDWELL",
"first_name": "JENAI",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69448",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69448",
"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 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.