Individual provider Active NPI

Jenny Wong Lau, LPC-ASSOCIATE

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1679100093
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
95457 Issued in TX
Practice address
11824 Jollyville Rd Ste 103
Austin, TX 78759-2318
Phone
(512) 270-1064
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 95457 TX Primary

Addresses

Primary practice location

11824 Jollyville Rd Ste 103
Austin, TX 78759-2318

Mailing address

6001 W Parmer LN Ste 370 #72
Austin, TX 78727-3908

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95457TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lunar Lotus Counseling PLLC Professional Current Accepting new patients

Locations

6001 W Parmer Ln
Ste 370
Austin, TX 78727
Phone (512) 387-6380

11824 Jollyville Rd
Ste 103
Austin, TX 78759
Phone (512) 270-1064

Interoperability endpoints

  • Direct secure messaging: jlau667067@direct.sw.org

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1679100093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W PARMER LN STE 370 #72",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 JOLLYVILLE RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592318",
            "telephone_number": "512-270-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JENNY",
        "middle_name": "WONG",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.