Provider Demographics
NPI:1942321633
Name:BARNETT, JOHN R (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 REGENTS PARK DR.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2541
Mailing Address - Country:US
Mailing Address - Phone:713-222-2525
Mailing Address - Fax:281-480-4815
Practice Address - Street 1:1335 REGENTS PARK DR.
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2541
Practice Address - Country:US
Practice Address - Phone:713-222-2525
Practice Address - Fax:281-480-4815
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83057LOtherBC/BS
TX0285017-02Medicaid