Individual provider Active NPI

Jeffrey William Klein, LPC

  • Professional Counselor
  • Georgetown, TX
National Provider Identifier
1568411783
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3008 Dawn Dr Ste 101
Georgetown, TX 78628-2822
Phone
(512) 451-7337
Fax
(512) 451-8729
NPI assigned
May 6, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3008 Dawn Dr Ste 101
Georgetown, TX 78628-2822

Mailing address

PO Box 2926
Georgetown, TX 78627-2926
Phone (512) 864-5875

Other identifiers 1

IdentifierTypeStateIssuer
027940801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Center for Counseling and Pastoral Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

8956 Research Blvd
Bldg 2
Austin, TX 78758
Phone (512) 451-7337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1568411783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2926",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272926",
            "telephone_number": "512-864-5875",
            "fax_number": "512-451-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282822",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027940801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.