Jenna Mackenzie Rhoades, LPC-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

92324 Issued in TX

Practice address

3509 Hulen St Ste 108
Fort Worth, TX 76107-6800

Phone

(817) 382-7130

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Same Time Next Week Counseling & Consultation

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1811696131
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1417719907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 FOX HOLLOW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163420",
            "telephone_number": "817-707-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HULEN ST STE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076800",
            "telephone_number": "817-382-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "JENNA",
        "middle_name": "MACKENZIE",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RG Medical
• RGH Enterprises, LLC (Edgepark Medical Supplies)
• Brittney Noel Rhem, M.D.
• Rhema Inc (Rhema Medical)
• Rhett K Fredric, M.D. & Associates
• Stephanie Rhoades, MD
• Annette Rhodes
• Brady W Rhodes, DPM
• Cheyenne Y Rhodes, RN
• Darnell Kevin Rhodes

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.