Jessica Medlyn, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

70948 Issued in TX

Practice address

12335 Hymeadow Dr
Ste. 300
Austin, TX 78750-1934

Phone

(512) 593-2564

NPI assigned

Feb 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jessica Medlyn

  • Professional Counselor
  • Austin, TX
  • NPI 1083166441
  NPD (past) Authorized official

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1033659057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ALGUNO RD",
            "address_2": "APT. B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787573221",
            "telephone_number": "512-593-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 HYMEADOW DR",
            "address_2": "STE. 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501934",
            "telephone_number": "512-593-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLYN",
        "first_name": "JESSICA",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medlink Clinical Group LLC
• Medlink Clinical Group LLC
• Alisha N Medlock, PT, DPT
• Matthew Morris Medlock, M.D.
• Medlogs Inc.
• Angela Lucille Medrano, MS
• Janelle Medrano, MSSW, LCSW
• Medrehab, LLC
• Medride Trans LLC
• Medsavers, Inc

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.