Active NPI
Jennifer Olenick, LPC
- Professional Counselor
- Lytle, TX
National Provider Identifier
1285036574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63907
- Practice address
- 19965 FM 3175
Lytle, TX 78052-3481 - Phone
- (210) 357-0365
- Fax
- (830) 772-4302
- NPI assigned
- Sep 18, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63907 | TX | |
| Professional Counselor | 101YP2500X | 63907 | TX | Primary |
Addresses
Primary practice location
19965 FM 3175
Lytle, TX 78052-3481
Mailing address
19965 FM 3175
Lytle, TX 78052-3481
Phone (210) 357-0365
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 |
|---|---|---|---|
| 63907 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1285036574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19965 FM 3175",
"city": "LYTLE",
"state": "TX",
"postal_code": "780523481",
"telephone_number": "210-357-0365",
"fax_number": "830-772-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19965 FM 3175",
"city": "LYTLE",
"state": "TX",
"postal_code": "780523481",
"telephone_number": "210-357-0365",
"fax_number": "830-772-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENICK",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "63907",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lytle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.