Jennifer Meadows, MA LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

71194 Issued in TX

Practice address

1580 S Main St Ste 205
Boerne, TX 78006-3311

Phone

(210) 920-5364

Fax

(830) 331-8747

NPI assigned

Jun 30, 2016

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Krock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jennifer J. Krock PLLC

  dba Meadows Psychotherapy

  • Mental Health Counselor
  • Boerne, TX
  • NPI 1215443965
  NPD Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1689025611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063311",
            "telephone_number": "210-920-5364",
            "fax_number": "830-331-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063311",
            "telephone_number": "210-920-5364",
            "fax_number": "830-331-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "JENNIFER",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KROCK",
            "credential": "MA LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda T. McNamara, PHARMD
• Patricia L McNaught, LPC-S RPT-S
• Kacey McQuiston, PHARM D
• Elizabeth McRae, M.D.
• Meadowland Charter School
• Medcare Associates, P.a.
• Medflex Health Solutions LLC
• Medical Outpost PLLC
• Medina County Hospital District (Town and Country Manor)
• Medina County Hospital District (Town and Country Nursing and Rehabilitation Center)

• Counselor in Boerne, TX
• Providers in Boerne, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.