Active NPI
Jennifer Kelly Guillette, MA, NCC, LPC-S
- Professional Counselor
- Frisco, TX
National Provider Identifier
1023029030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18373
- Practice address
- 6991 Pecan Street St 300
W303
Frisco, TX 75034-4252 - Phone
- (903) 253-1633
- Fax
- (469) 777-3910
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18373 | TX | Primary |
Addresses
Primary practice location
6991 Pecan Street St 300
W303
Frisco, TX 75034-4252
Mailing address
PO Box 1087
Frisco, TX 75034
Phone (903) 253-1633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160829103 | Medicaid | TX | |
| 1608291-03 | Medicaid | TX |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18373 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- jenniferguillette@tdh.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1023029030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1087",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034",
"telephone_number": "903-253-1633",
"fax_number": "469-777-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6991 PECAN STREET ST 300",
"address_2": "W303",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344252",
"telephone_number": "903-253-1633",
"fax_number": "469-777-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLETTE",
"first_name": "JENNIFER",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "MA, NCC, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160829103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1608291-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.