Individual provider Active NPI

Jenai Tidwell, LPC-S

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1972847093
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69448 Issued in TX
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

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511003447 TX Practitioner - Mental Health Counselor 5496223158 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
69448TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fowler and Tidwell PLLC Current Accepting new patients
Fowler and Tidwell PLLC CurrentSince Apr 4, 2026 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.

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

Verify at the official NPI Registry.