Jennifer J. Krock PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

71194 Issued in TX

Legal business name

JENNIFER J. KROCK PLLC

Doing business as

Meadows Psychotherapy

Practice address

1580 S Main St Ste 205
Boerne, TX 78006-3311

Phone

(210) 920-5364

Fax

(830) 331-8747

NPI assigned

Dec 18, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Janine Meadows, LPC NCCNPI 1689025611

Title

Owner

Phone

(210) 920-5364

Specialties & licenses 1

Addresses

Other names 1

• Meadows Psychotherapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Meadows, MA LPC

  • Counselor
  • Boerne, TX
  • NPI 1689025611
  NPD Authorized official

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1215443965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063311",
            "telephone_number": "210-920-5364",
            "fax_number": "830-331-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063311",
            "telephone_number": "210-920-5364",
            "fax_number": "830-331-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER J. KROCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-920-5364",
        "authorized_official_credential": "LPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Ann Jackson, M.D.
• Teesha Jackson, LVN
• Alexandra Jara, RN
• Jessica Jean-Baptiste Singleton, DO
• Shawn Thomas Jenkins, DO
• Amber Jimenez
• Stephanie Jimenez, LVN
• Joel B Nilsson MD PA (Trinity Adult and Pediatric Orthopedic Specialists)
• Johnson Eye Care PLLC
• Jennifer E Johnson, MS, CCC-SLP

• Mental Health Counselor in Boerne, TX
• Providers in Boerne, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.