Active NPI
Jennifer A Young, LPC
- Professional Counselor
- Denton, TX
National Provider Identifier
1255563417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17732
- Practice address
- 303 N Carroll Blvd Ste 114
Denton, TX 76201-9075 - Phone
- (844) 824-8775
- Fax
- (281) 648-2200
- NPI assigned
- Aug 20, 2009
- Last updated
- Jan 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17732 | TX | Primary |
Addresses
Primary practice location
303 N Carroll Blvd Ste 114
Denton, TX 76201-9075
Mailing address
815 I R Hannah Rd
Diboll, TX 75941-4407
Phone (903) 484-4641
Other practice location 1
815 I R Hannah Rd
Diboll, TX 75941-4407
Phone (903) 484-4641
Other names 1
- Ms. Jennifer A Renze
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17732 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Professional | Current | Accepting new patients |
Locations
303 N Carroll Blvd
Ste 114
Denton, TX 76201
Phone (443) 938-4844
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.
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- Mental Health Counselor
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- NPI 1659567238
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1255563417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 I R HANNAH RD",
"city": "DIBOLL",
"state": "TX",
"postal_code": "759414407",
"telephone_number": "903-484-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N CARROLL BLVD STE 114",
"city": "DENTON",
"state": "TX",
"postal_code": "762019075",
"telephone_number": "844-824-8775",
"fax_number": "281-648-2200"
}
],
"practiceLocations": [
{
"address_1": "815 I R Hannah Rd",
"address_purpose": "LOCATION",
"city": "Diboll",
"state": "TX",
"postal_code": "759414407",
"country_code": "US",
"telephone_number": "903-484-4641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2024-01-05",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RENZE",
"middle_name": "A",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.