Individual provider Active NPI

Jenna Robinson

  • Counselor
  • Frisco, TX
National Provider Identifier
1073336426
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
90064 Issued in TX
Practice address
5899 Preston Rd Ste 404
Frisco, TX 75034-9590
Phone
(214) 618-0588
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 90064 TX Primary

Addresses

Primary practice location

5899 Preston Rd Ste 404
Frisco, TX 75034-9590

Mailing address

644 Jim Lamb Rd
Sherman, TX 75090-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127000831 TX Practitioner - Mental Health Counselor 4981133535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90064TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blank Slate Therapy CurrentSince Nov 23, 2024 Accepting new patients

Locations

5899 Preston Rd
Ste 404
Frisco, TX 75034
Phone (214) 618-0588

185 S Kimball Ave
Ste 120
Southlake, TX 76092
Phone (214) 618-0588

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.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1073336426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 JIM LAMB RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 404",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349590",
            "telephone_number": "214-618-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "90064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.