MEDICARE: JONATHON KENNETH PAUGH M.A., LPC, LMFT, TEP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	11228	TX
2	106H00000X	Marriage & Family Therapist	2671	TX

General Provider Information

NPI Number	:	1194862292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHON KENNETH PAUGH M.A., LPC, LMFT, TEP

Provider Business Mailing Address
First Line	:	1600 LAKE FRONT CIR
Second Line	:	SUITE 150
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3613
Country	:	US
Telephone Number	:	936-443-4357
Fax Number	:	281-292-4018

Provider Business Practice Location Address
First Line	:	1600 LAKE FRONT CIR
Second Line	:	SUITE 150
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3613
Country	:	US
Telephone Number	:	936-443-4357
Fax Number	:	281-292-4018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	09/11/2025

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