Individual provider Active NPI

Jennifer Steenbergen, LMSW

  • Mental Health Counselor
  • Plano, TX
National Provider Identifier
1134480601
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
54689 Issued in TX
Practice address
2600 Avenue K Ste 102
Plano, TX 75074-5306
Phone
(972) 423-8727
Fax
(972) 423-8918
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 54689 TX Primary

Addresses

Primary practice location

2600 Avenue K Ste 102
Plano, TX 75074-5306

Mailing address

2600 Avenue K Ste 102
Plano, TX 75074-5306
Phone (972) 423-8727

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
54689TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1134480601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 AVENUE K STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745306",
            "telephone_number": "972-423-8727",
            "fax_number": "972-423-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 AVENUE K STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745306",
            "telephone_number": "972-423-8727",
            "fax_number": "972-423-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENBERGEN",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "54689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.