Active NPI
Jennifer Destiny Orocio-Reyna, LPC, LCPC
- Professional Counselor
- Manor, TX
National Provider Identifier
1083289375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80816
- Practice address
- 14317 Littig Rd
Manor, TX 78653-5254 - Phone
- (512) 913-6568
- NPI assigned
- May 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.013178 | IL | |
| Professional Counselor | 101YP2500X | 80816 | TX | Primary |
Addresses
Primary practice location
14317 Littig Rd
Manor, TX 78653-5254
Mailing address
14317 Littig Rd
Manor, TX 78653-5254
Phone (512) 788-5306
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.013178 | IL | MD | Professional Counselor |
| 80816 | TX | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1083289375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14317 LITTIG RD",
"city": "MANOR",
"state": "TX",
"postal_code": "786535254",
"telephone_number": "512-788-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14317 LITTIG RD",
"city": "MANOR",
"state": "TX",
"postal_code": "786535254",
"telephone_number": "512-913-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OROCIO-REYNA",
"first_name": "JENNIFER",
"middle_name": "DESTINY",
"name_prefix": "Mrs.",
"credential": "LPC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.013178",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.