Jennifer Mitchell, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31742 Issued in TX

Practice address

1067 FM 360
Ste 607
New Braunfels, TX 78130-6897

Phone

(254) 744-0317

Fax

(830) 625-5877

NPI assigned

Mar 7, 2007

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Hankins Former name

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Darla Lane PLLC

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1952390247
  NPD (past)
• Jennifer a. Mitchell PLLC

  • Clinical Psychologist
  • New Braunfels, TX
  • NPI 1962327593
  NPD (past)
• M Laroe MD PA

  • Psychiatry Physician
  • New Braunfels, TX
  • NPI 1013154707
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1073644886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 607",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306897",
            "telephone_number": "830-837-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 FM 360",
            "address_2": "STE 607",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306897",
            "telephone_number": "254-744-0317",
            "fax_number": "830-625-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31742",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158362704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HANKINS",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sadye Mireles
• Melissa H Miskell, D.O.
• Mission Cardiovascular Consultants
• Mission Hill Dental Management, L.L.C.
• Mission Rehabilitation and Sports Medicine Limited Partnership
• Whitney H. Mitchell, MD
• Ashley Nicole Mitzel
• Tracey S Mixon, FNP-C
• Esther Devy Moalim
• Callie Jane Moczygemba, DO

• Psychologist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.