Active NPI
Jacquelyn Suzette Tesseneer, LPC-A
- Professional Counselor
- Tyler, TX
National Provider Identifier
1427969203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 103710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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.