Jennifer Theresa Barranco, LPC, LSSP
Individual provider Active NPI Professional Counselor · Montgomery, TX
NPI 1124467170 · NPPES record last updated Jun 22, 2013
Key facts
- NPI
- 1124467170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 62987 (TX)
- Practice address
- 11609 Princess Ann CT
Montgomery, TX 77316-3605 - Phone
- (832) 797-1178
- NPI assigned
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34196 | TX | MD | Clinical Social Worker |
| 62987 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62987 | TX | Yes |
| School Psychologist | 103TS0200X | 34196 | TX |
Addresses
Primary practice location
11609 Princess Ann CT
Montgomery, TX 77316-3605
Mailing address
11609 Princess Ann CT
Montgomery, TX 77316-3605
Phone (832) 797-1178
Other providers in Montgomery, TX
- Susan Bacon
- Jenny Baker
- Maria Bakht
- Marilyn K. Balke-Lowry
- Nelda Marivel Barba
- Alyson Claire Bayer
- Beautiful Minds Montgomery PLLC
- Bedsider Nurse Staffing LLC
- Tanya Louise Masako Behl
- Benchmark Home Health, LLC
All providers in Montgomery, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.