Individual provider Active NPI

Jenifer Nichele James, LPC

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1114370871
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87199 Issued in TX
Practice address
645 N Walnut Ave
New Braunfels, TX 78130-7925
Phone
(830) 730-6090
Fax
(830) 455-4355
NPI assigned
Jul 18, 2016
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401016546 MI
Professional Counselor 101YP2500X
Other Technician 247200000X
Professional Counselor 101YP2500X 87199 TX Primary

Addresses

Primary practice location

645 N Walnut Ave
New Braunfels, TX 78130-7925

Mailing address

24385 Wilderness Oak Apt 8402
San Antonio, TX 78258-7766
Phone (517) 505-6424

Other identifiers 1

IdentifierTypeStateIssuer
1114370871MedicaidMI

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
6401016546MIMDCounselor
87199TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inmindout Emotional Wellness Center, LLC Professional CurrentSince Apr 9, 2023 Accepting new patients
My Place of Refuge LLC Counselor Current Accepting new patients
Marvin Behavioral Health Ma PC Past Accepting new patients

Locations

645 N Walnut Ave
New Braunfels, TX 78130
Phone (830) 306-0907

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1114370871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24385 WILDERNESS OAK APT 8402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587766",
            "telephone_number": "517-505-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925",
            "telephone_number": "830-730-6090",
            "fax_number": "830-455-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JENIFER",
        "middle_name": "NICHELE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016546",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114370871",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.