Individual provider Active NPI

Jennifer L Gastineau, M.A., LPC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1730300575
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19994 Issued in TX
Practice address
1970 Rawhide Dr
Suite 318
Round Rock, TX 78681-6957
Phone
(512) 388-3638
Fax
(512) 388-3634
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19994 TX Primary
Counselor 101Y00000X 19994 TX
Mental Health Counselor 101YM0800X 19994 TX

Addresses

Primary practice location

1970 Rawhide Dr
Suite 318
Round Rock, TX 78681-6957

Mailing address

1970 Rawhide Dr
Suite #318
Round Rock, TX 78681-6957
Phone (512) 388-3638

Other identifiers 1

IdentifierTypeStateIssuer
1788267MedicaidTX

Other names 1

  • Jennifer Gastineau-Benjamin Other name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19994TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brewer & Easter Enterprises, PLLC Professional Past Accepting new patients

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1730300575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 RAWHIDE DR",
            "address_2": "SUITE #318",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816957",
            "telephone_number": "512-388-3638",
            "fax_number": "512-388-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 RAWHIDE DR",
            "address_2": "SUITE 318",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816957",
            "telephone_number": "512-388-3638",
            "fax_number": "512-388-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTINEAU",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19994",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1788267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GASTINEAU-BENJAMIN",
            "credential": "M.A., LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.