Active NPI
Jessica Lynn Reyna-Worthington, M.S.
- Counselor
- Austin, TX
National Provider Identifier
1306102967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 805 W 10TH St
Suite 302-B
Austin, TX 78701-2047 - Phone
- (512) 537-5977
- NPI assigned
- Apr 9, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
805 W 10TH St
Suite 302-B
Austin, TX 78701-2047
Mailing address
805 W 10TH St
Suite 302-B
Austin, TX 78701-2047
Phone (512) 537-5977
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1306102967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W 10TH ST",
"address_2": "SUITE 302-B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012047",
"telephone_number": "512-537-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W 10TH ST",
"address_2": "SUITE 302-B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012047",
"telephone_number": "512-537-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA-WORTHINGTON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.