Individual provider Active NPI

Jacquelyn Suzette Tesseneer, LPC-A

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1427969203
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
103710 Issued in TX
Practice address
2624 Kensington Dr Ste 112
Tyler, TX 75703-2734
Phone
(903) 630-2008
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 103710 TX Primary

Addresses

Primary practice location

2624 Kensington Dr Ste 112
Tyler, TX 75703-2734

Mailing address

18847 Serene Water Dr
Montgomery, TX 77356-3704
Phone (512) 820-7541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1427969203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18847 SERENE WATER DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563704",
            "telephone_number": "512-820-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 KENSINGTON DR STE 112",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032734",
            "telephone_number": "903-630-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSENEER",
        "first_name": "JACQUELYN",
        "middle_name": "SUZETTE",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "103710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.