Active NPI
Jennifer A Jaeger, LPC
- Professional Counselor
- Kerrville, TX
National Provider Identifier
1497768402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16973
- Practice address
- 160 Guadalupe PLZ
Suite a
Kerrville, TX 78028-4545 - Phone
- (830) 329-1413
- Fax
- (830) 792-3438
- NPI assigned
- Aug 14, 2006
- 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 | 16973 | TX | Primary |
Addresses
Primary practice location
160 Guadalupe PLZ
Suite a
Kerrville, TX 78028-4545
Mailing address
PO Box 290753
Kerrville, TX 78029-0753
Phone (830) 329-1413
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142645401 | Medicaid | TX | |
| 275450 | Other | TX | COMPSYCH |
| 5388 LC | Other | TX | BLUE CROSS BLUE SHIELD |
| 84900L | Other | TX | BC/BS OF TX |
| 142645404 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16973 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497768402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290753",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780290753",
"telephone_number": "830-329-1413",
"fax_number": "830-792-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 GUADALUPE PLZ",
"address_2": "SUITE A",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780284545",
"telephone_number": "830-329-1413",
"fax_number": "830-792-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142645401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "275450",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5388 LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TX",
"identifier": "84900L",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142645404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.