Provider Demographics
NPI:1144835356
Name:JAMES, JASMIN AKI (MA, LPC, LCDC, NCC)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:AKI
Last Name:JAMES
Suffix:
Gender:F
Credentials:MA, LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18723 SANDELFORD DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-8485
Mailing Address - Country:US
Mailing Address - Phone:817-818-9126
Mailing Address - Fax:
Practice Address - Street 1:16225 PARK TEN PL STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5152
Practice Address - Country:US
Practice Address - Phone:832-737-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15056101YA0400X
TX81620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty