Individual provider Active NPI

Dequindre Lashay Jernigan, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1609494046
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93165 Issued in TX
Practice address
4500 Mercantile Plaza Dr Ste 307
Fort Worth, TX 76137-4230
Phone
(817) 232-9400
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 93165 TX Primary

Addresses

Primary practice location

4500 Mercantile Plaza Dr Ste 307
Fort Worth, TX 76137-4230

Mailing address

4500 Mercantile Plaza Dr Ste 307
Fort Worth, TX 76137-4230
Phone (817) 232-9400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
93165TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda M. Johnson PHD. PLLC Professional Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dequindre.jernigan.1@28621.direct.athenahealth.com

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1609494046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374230",
            "telephone_number": "817-232-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374230",
            "telephone_number": "817-232-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "DEQUINDRE",
        "middle_name": "LASHAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.