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

Jacquelin Shahene Lewis Pulliam

Individual provider Mental Health Counselor · NPI 1093602070

Jacquelin Shahene Lewis Pulliam is a Mental Health Counselor in Houston, Texas. Qualified in 2021, 5 years ago. Practices with The Harris Center for Mental Health and Idd, a 127-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

5901 Long Dr
Houston, TX 77087-1003
Phone: (832) 962-1868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9401 Southwest Fwy, Houston, TX 77074-1407 — (713) 970-7000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 87972 (TX)

Record details

NPI number1093602070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Harris Center For Mental Health And Idd — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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