Individual provider Active NPI

Andrew Eenigenburg, M.ED., LPC

  • Professional Counselor
  • Flower Mound, TX
National Provider Identifier
1013452747
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72756 Issued in TX
Practice address
6021 Morriss Rd Ste 106
Flower Mound, TX 75028-3764
Phone
(469) 635-2200
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72756 TX Primary

Addresses

Primary practice location

6021 Morriss Rd Ste 106
Flower Mound, TX 75028-3764

Mailing address

6021 Morriss Rd Ste 106
Flower Mound, TX 75028-3764
Phone (469) 635-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
72756TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ja Biblical Counseling, PLLC Past Accepting new patients
Catherine Mosier PLLC PastSince Feb 9, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1013452747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 MORRISS RD STE 106",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283764",
            "telephone_number": "469-635-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 MORRISS RD STE 106",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283764",
            "telephone_number": "469-635-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EENIGENBURG",
        "first_name": "ANDREW",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.