Active NPI
Jennifer Washburn, LPC, LMFT
- Professional Counselor
- Grapevine, TX
National Provider Identifier
1164984266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70267
- Practice address
- 603 S Main St Ste 209
Grapevine, TX 76051-5387 - Phone
- (817) 714-1387
- NPI assigned
- Apr 5, 2019
- Last updated
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201958 | TX | |
| Professional Counselor | 101YP2500X | 70267 | TX | Primary |
Addresses
Primary practice location
603 S Main St Ste 209
Grapevine, TX 76051-5387
Mailing address
4401 Little Rd Ste 550-103
Arlington, TX 76016-5624
Phone (817) 714-1387
Other practice location 1
4401 Little Rd Ste 550-103
Arlington, TX 76016-5624
Phone (817) 714-1387
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70267 | TX | MD | Professional Counselor |
| 201958 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1164984266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 LITTLE RD STE 550-103",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760165624",
"telephone_number": "817-714-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S MAIN ST STE 209",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515387",
"telephone_number": "817-714-1387"
}
],
"practiceLocations": [
{
"address_1": "4401 Little Rd Ste 550-103",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760165624",
"country_code": "US",
"telephone_number": "817-714-1387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHBURN",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201958",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.