Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ita L Jervis

Individual provider Professional Counselor · NPI 1346814449

Ita L Jervis is a Mental Health Counselor in Kingwood, Texas. Qualified in 2013, 13 years ago. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

2323 Timber Shadows Dr Ste B
Kingwood, TX 77339-2028
Phone: (832) 233-3086
Fax: (832) 415-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 73488 (TX)

Record details

NPI number1346814449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2021
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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