Individual provider Active NPI

Jan L Lentz, LISW LCSW

  • Clinical Social Worker
  • Big Spring, TX
National Provider Identifier
1235151648
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
TX 39737 Issued in TX
Practice address
300 W Veterans Blvd
Big Spring, TX 79720-5566
Phone
(432) 263-7361
Fax
(432) 268-5086
NPI assigned
Jul 24, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TX 39737 TX Primary

Addresses

Primary practice location

300 W Veterans Blvd
Big Spring, TX 79720-5566

Mailing address

300 W Veterans Blvd
Big Spring, TX 79720-5566
Phone (432) 263-7361

Other identifiers 2

IdentifierTypeStateIssuer
NM 1-05086OtherNMLISW SOCIAL WORK LICENSE
TX 39737OtherTXLCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161108002571 TX Practitioner - Clinical Social Worker 4789963067 Reassigns benefits to 1 organization
I20231213003251 NM Practitioner - Clinical Social Worker 4789963067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Counseling and Guidance IncGroup PAC ID 3870576937, 28 clinicians

Practice addresses (Care Compare)

102 N Main St
Suite C Permian Basin Counseling and Guidance
Carlsbad, NM 88220-6205
Phone (325) 944-2561

36 E Twohig Ave
Suite 600
San Angelo, TX 76903-6486
Phone (325) 944-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX 39737TXMDClinical Social Worker
39737TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Counseling & Guidance Inc Clinical CurrentSince Aug 1, 2016 Accepting new patients

Locations

102 N Main St
Ste C
Carlsbad, NM 88220

242 N Magdalen St
San Angelo, TX 76903
Phone (325) 658-7750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1235151648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W VETERANS BLVD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205566",
            "telephone_number": "432-263-7361",
            "fax_number": "432-268-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W VETERANS BLVD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205566",
            "telephone_number": "432-263-7361",
            "fax_number": "432-268-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "JAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LISW  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "TX 39737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW SOCIAL WORK LICENSE",
            "identifier": "NM 1-05086",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW  LICENSE",
            "identifier": "TX 39737",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.