Individual provider Active NPI

Jill A Lee, MA, NCC, LPC

  • Mental Health Counselor
  • New Braunfels, TX
National Provider Identifier
1487044277
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
73196 Issued in TX
Practice address
468 S Seguin Ave Ste 201
New Braunfels, TX 78130-7670
Phone
(830) 266-9240
Fax
(830) 310-6039
NPI assigned
Jan 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 73196 TX Primary

Addresses

Primary practice location

468 S Seguin Ave Ste 201
New Braunfels, TX 78130-7670

Mailing address

797 Durham Dr
Canyon Lake, TX 78133-5566
Phone (830) 266-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 24, 2024 through Jun 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
73196TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill a. Lee Counseling, PLLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

468 S Seguin Ave
Ste 201
New Braunfels, TX 78130
Phone (830) 266-9240

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": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1487044277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 DURHAM DR",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781335566",
            "telephone_number": "830-266-9240",
            "fax_number": "830-310-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S SEGUIN AVE STE 201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307670",
            "telephone_number": "830-266-9240",
            "fax_number": "830-310-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.