Jessica Lynn Warren, M.A. LPC
Individual provider Active NPI Mental Health Counselor · Austin, TX
NPI 1184929317 · NPPES record last updated May 6, 2013
Key facts
- NPI
- 1184929317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 64587 (TX)
- Practice address
- 12710 Research Blvd
Ste 360
Austin, TX 78759-4379 - Phone
- (512) 671-4400
- Fax
- (512) 671-4427
- NPI assigned
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3000 Joe Dimaggio Blvd
Suite 86
Round Rock, TX 78665-3992
Phone (512) 298-2440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122000598 | TX | Practitioner - Mental Health Counselor | 1052768892 | Practice locations: Round Rock, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Lynn Warren | Current |
Accepting new patients | |
| Amy Urbanek LPC NCC PLLC | Mental Health | Past | Accepting new patients |
Locations
3000 Joe Dimaggio Blvd
Ste 86
Round Rock, TX 78665
Phone (512) 298-2440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 64587 | TX | Yes |
Addresses
Primary practice location
12710 Research Blvd
Ste 360
Austin, TX 78759-4379
Mailing address
12710 Research Blvd
Ste 360
Austin, TX 78759-4379
Phone (512) 671-4400
Other providers in Austin, TX
- Brittany Warren
- Cathy Warren
- Ciara Kristina Warren
- Cynthia D. Warren
- Dawn Warren
- Julie Kay Warren
- Kristen Warren
- Marci Eddins Warren
- Mary-Jane Warren
- Moriah Joan Warren
All providers in Austin, TX · Mental Health 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 May 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.