Individual provider Active NPI

Jennifer Pappe Johnson, LPC LMFT

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1629163258
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17601 Issued in TX
Practice address
1616 Park Place Ave
Fort Worth, TX 76110-1377
Phone
(817) 921-2401
Fax
(817) 921-2405
NPI assigned
Oct 3, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17601 TX Primary
Marriage & Family Therapist 106H00000X 5013 TX

Addresses

Primary practice location

1616 Park Place Ave
Fort Worth, TX 76110-1377

Mailing address

1616 Park Place Ave
Fort Worth, TX 76110-1377
Phone (817) 921-2401

Other names 1

  • Jennifer Christine Pappe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001421 TX Practitioner - Mental Health Counselor 5890221014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17601TXMDProsthodontist
5013TXMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Art Station Professional CurrentSince Mar 1, 2025 Accepting new patients

Locations

4812 Diaz Ave
Fort Worth, TX 76107
Phone (817) 921-2401

1616 Park Place Ave
Ft Worth, TX 76110
Phone (817) 921-2401

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1629163258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101377",
            "telephone_number": "817-921-2401",
            "fax_number": "817-921-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101377",
            "telephone_number": "817-921-2401",
            "fax_number": "817-921-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "PAPPE",
        "credential": "LPC LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17601",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PAPPE",
            "middle_name": "CHRISTINE",
            "credential": "LPC LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.