Individual provider Active NPI

David Blayne Yentzen

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1093401978
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90410 Issued in TX
Practice address
3000 Joe Dimaggio Blvd # 88-89
Round Rock, TX 78665-3922
Phone
(512) 537-9886
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90410 TX Primary

Addresses

Primary practice location

3000 Joe Dimaggio Blvd # 88-89
Round Rock, TX 78665-3922

Mailing address

3355 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-6673

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

LicenseStateTypeSpecialty
90410TXMDProfessional Counselor
626394TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1093401978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD # 88-89",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-537-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENTZEN",
        "first_name": "DAVID",
        "middle_name": "BLAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.