Active NPI
Jennifer Nicole McLain, APN
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
National Provider Identifier
1588079180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1095095
- Practice address
- 3000 Oak Springs Dr
Austin, TX 78702-2531 - Phone
- (512) 532-9947
- Fax
- (512) 532-9990
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 747386 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1095095 | TX | Primary |
Addresses
Primary practice location
3000 Oak Springs Dr
Austin, TX 78702-2531
Mailing address
1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357
Other practice location 1
403 E 15th St
Austin, TX 78701-1437
Phone (512) 445-7783
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: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747386 | TX | MD | Registered Nurse |
| 1095095 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Travis County Mental Health and Mental Retardation Center | Current | Accepting new patients | |
| Austin Travis County Mental Health and Mental Retardation Center | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
403 E 15th St
Austin, TX 78701
Phone (512) 445-7783
1430 Collier St
Austin, TX 78704
Phone (512) 427-4357
1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Austin, TX
- NPI 1053632505
-
- Psychiatry Physician
- Austin, TX
- NPI 1750337259
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1588079180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-472-4357",
"fax_number": "512-703-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 OAK SPRINGS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022531",
"telephone_number": "512-532-9947",
"fax_number": "512-532-9990"
}
],
"practiceLocations": [
{
"address_1": "403 E 15th St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787011437",
"country_code": "US",
"telephone_number": "512-445-7783",
"fax_number": "512-703-1930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAIN",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "747386",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1095095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.