Individual provider Active NPI

Jennifer Nicole Bartlett, LPC

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1346082518
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88482 Issued in TX
Practice address
924 N University Dr Ste F
Nacogdoches, TX 75961-4643
Phone
(903) 392-9893
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88482 TX Primary

Addresses

Primary practice location

924 N University Dr Ste F
Nacogdoches, TX 75961-4643

Mailing address

523 E Parker Rd
Nacogdoches, TX 75965-2590
Phone (936) 715-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241101002221 TX Practitioner - Mental Health Counselor 0345773081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88482TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bartlett Counseling PLLC Professional CurrentSince Aug 31, 2024 Accepting new patients

Locations

924 N University Dr
Ste F
Nacogdoches, TX 75961
Phone (903) 392-9893

924 N University Dr
Ste B
Nacogdoches, TX 75961
Phone (903) 392-9893

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1346082518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E PARKER RD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652590",
            "telephone_number": "936-715-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N UNIVERSITY DR STE F",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614643",
            "telephone_number": "903-392-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.