Active NPI
Jana R Jernigan, LPC
- Professional Counselor
- Lake Jackson, TX
National Provider Identifier
1083830145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20085
- Practice address
- 53 Sunrose CT
Lake Jackson, TX 77566-4820 - Phone
- (979) 480-1890
- NPI assigned
- Apr 17, 2007
- 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 | 20085 | TX | Primary |
Addresses
Primary practice location
53 Sunrose CT
Lake Jackson, TX 77566-4820
Mailing address
53 Sunrose CT
Lake Jackson, TX 77566-4820
Phone (979) 480-1890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178775602 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20085 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1083830145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 SUNROSE CT",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664820",
"telephone_number": "979-480-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 SUNROSE CT",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664820",
"telephone_number": "979-480-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "JANA",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178775602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.