Individual provider Active NPI

Jennifer Elaine Sawyer

  • Professional Counselor
  • Beaumont, TX
National Provider Identifier
1124625520
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90488 Issued in TX
Practice address
2688 Calder St
Beaumont, TX 77702-1917
Phone
(409) 813-2206
Fax
(409) 813-2236
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10524 TX
Professional Counselor 101YP2500X 90488 TX Primary

Addresses

Primary practice location

2688 Calder St
Beaumont, TX 77702-1917

Mailing address

4349 Crow Rd Ste a&B
Beaumont, TX 77706-7082
Phone (409) 813-2206

Other names 1

  • Jennifer Irle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104004084 TX Practitioner - Mental Health Counselor 2264862168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10524TXMDAddiction (Substance Use Disorder) Counselor
90488TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care I, LLC Professional CurrentSince Sep 30, 2024 Accepting new patients
Texas Treatment Services, LLC PastSince Oct 1, 2020 Accepting new patients
Texas Treatment Services, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

4653 SW Fwy
Ste 635
Houston, TX 77027

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

4201 FM 105
Orange, TX 77630
Phone (409) 670-1457

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1124625520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 CROW RD STE A&B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067082",
            "telephone_number": "409-813-2206",
            "fax_number": "409-813-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2688 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021917",
            "telephone_number": "409-813-2206",
            "fax_number": "409-813-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10524",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "IRLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.