Jackie Engelhardt Counseling PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201340 Issued in TX

Legal business name

JACKIE ENGELHARDT COUNSELING PLLC

Practice address

468 S Seguin Ave
Suite 200
New Braunfels, TX 78130-7664

Phone

(830) 822-2333

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Jackie Engelhardt, MS, LMFT, LPC

Title

Owner

Phone

(830) 822-2333

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1699021949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311918",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311918",
            "telephone_number": "830-822-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S SEGUIN AVE",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307664",
            "telephone_number": "830-822-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE ENGELHARDT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "ENGELHARDT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-822-2333",
        "authorized_official_credential": "MS, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66132",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218069701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.