Jerry Petty Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67013 Issued in TX

Legal business name

JERRY PETTY COUNSELING PLLC

Practice address

914 N Locust St
Denton, TX 76201-2954

Phone

(940) 387-6250

Fax

(940) 387-6274

NPI assigned

Jun 7, 2012

Last updated

Jun 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Lynn Petty Jr., MS, LPC, NCCNPI 1992015556

Title

Owner

Phone

(940) 453-0266

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Lynn Petty Jr., LPC

  • Professional Counselor
  • Denton, TX
  • NPI 1992015556
  Authorized official Same address or phone

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1306107172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N LOCUST ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012954",
            "telephone_number": "940-387-6250",
            "fax_number": "940-387-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N LOCUST ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012954",
            "telephone_number": "940-387-6250",
            "fax_number": "940-387-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY PETTY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-453-0266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jungyu Esther Jenke, FNP
• Jennifer Polen
• Adrienne Douglas Jennings, D.D.S.
• Shinyeong Jeong, MD
• Jerome P. Lisk, M.D., Inc. (Southern California Movement Disorder Sepcialists)
• Jason Christopher Jessup, PT, MS
• Meredith Ashley Jessup, LCSW
• Maria Tranquilina Jimenez, NP-C
• Shauna Marie Jimenez, LSA
• Jinny Yoon MD PA (Neuromusculoskeletal clinic)

• Professional Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.