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ITA L JERVIS
NPI 1346814449
Counselor - Professional in Kingwood, TX

Active since May 14, 2021PECOS Enrolled
2323 TIMBER SHADOWS DR STE B, KINGWOOD, TX 77339(832) 233-3086(832) 415-3050 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ita L Jervis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITA L JERVIS (NPI 1346814449) is an individual professional provider in Kingwood, Texas, licensed in Texas (73488) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346814449
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameITA L JERVIS
Location Address2323 TIMBER SHADOWS DR STE BKingwood, TX 77339-2028
Mailing AddressPo Box 5857Kingwood, TX 77325-5857 · (832) 233-3086 · Fax (832) 415-3050
Phone(832) 233-3086
Fax(832) 415-3050
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1346814449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 73488
2323 TIMBER SHADOWS DR STE B, Kingwood, TX 77339
Open in Google Maps ↗

Other Identifiers 1

Other73488TX · Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ita L Jervis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739613852
PECOS Enrollment IDI20241112004584
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA ANNE BEAL LPC-S
Counselor (Professional)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
STACIE CAMPBELL-NOONEN
Counselor (Professional)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
MONIQUE MOSS
Counselor (Professional)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
KIMBERLY LINNE BOYD LPC
Counselor (Professional)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
CHELSEA PANGELINAN LPC
Counselor (Professional)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
KATIE FLOECK M.ED, LPC
Counselor
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
ROBIN L ROBINSON MA
Counselor (Mental Health)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086
TAMARA LEE MICHELLE AGIMUDIE LPC-I
Counselor (Professional)
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339
Harris County (832) 233-3086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ita Jervis's NPI number?

The NPI number for Ita Jervis is 1346814449. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Ita Jervis located?

Ita Jervis practices at 2323 Timber Shadows Dr Ste B, Kingwood, TX 77339. The listed phone number is (832) 233-3086.

What is Ita Jervis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ita Jervis enrolled in Medicare?

Yes. Ita Jervis is registered in the Medicare PECOS enrollment system.

What insurance does Ita Jervis accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, Oscar Insurance Company and Providence Health Plan and 2 other insurers list Ita Jervis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ita Jervis was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.