Individual provider Active NPI

Jennifer Lynn Schulz, MS

  • Marriage & Family Therapist
  • Southlake, TX
National Provider Identifier
1144454125
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123 Issued in NH
Practice address
200 N Kimball Ave # 1099
Southlake, TX 76092-6659
Phone
(603) 819-6146
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 123 NH Primary

Addresses

Primary practice location

200 N Kimball Ave # 1099
Southlake, TX 76092-6659

Mailing address

PO Box 271
Plaistow, NH 03865-0271
Phone (603) 819-4376

Other practice location 1

125 Washington St # 1041
Rochester, NH 03839-5505
Phone (603) 819-6146

Other practice location 2

6350 Prairie Brush Trl
Argyle, TX 76226-1834
Phone (603) 819-4376

Other identifiers 1

IdentifierTypeStateIssuer
11808670OtherNHCAQH

Other names 1

  • Mrs. Jennifer Lynn Slattery Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
123NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Encounters, PLLC Marriage & Family Therapist CurrentSince Jul 25, 2021 Accepting new patients

Locations

221 E Southlake Blvd
Southlake, TX 76092

Organizations & group practices 1

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1144454125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038650271",
            "telephone_number": "603-819-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N KIMBALL AVE # 1099",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926659",
            "telephone_number": "603-819-6146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Washington St # 1041",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038395505",
            "country_code": "US",
            "telephone_number": "603-819-6146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6350 Prairie Brush Trl",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762261834",
            "country_code": "US",
            "telephone_number": "603-819-4376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-07-30",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11808670",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SLATTERY",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.