Jessica Amanda Kohl, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77482 Issued in TX

Practice address

203 S Fannin St
Rockwall, TX 75087-3749

Phone

(830) 693-0530

Fax

(830) 637-7438

NPI assigned

Oct 19, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Cari Foote Ma LPC LMFT & Associates PLLC

  • Professional Counselor
  • Rockwall, TX
  • NPI 1720251606
  Medicare reassignment NPD

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1366953234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1731",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786547731",
            "telephone_number": "830-693-0530",
            "fax_number": "830-637-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S FANNIN ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873749",
            "telephone_number": "830-693-0530",
            "fax_number": "830-637-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "JESSICA",
        "middle_name": "AMANDA",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kallie Knight, MS, CCC-SLP
• Michelle Knight, LMT
• William Richard Knoderer, M.D. , D.D.S.
• Brigette Nicole Koetter, D.D.S.
• Paul Koetter, MPT
• Elaine Kollar
• Amy Lynn Kollehner, PT, DPT
• Shelby Leigh Kort, CPNP, APRN
• Amanda C Kosanda
• Rachael Kovar

• Professional Counselor in Rockwall, TX
• Providers in Rockwall, 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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.