Active NPI
Jennifer Dour, LPC
- Counselor
- Austin, TX
National Provider Identifier
1730400938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 65185
- Practice address
- 1600 Payton Gin Rd
Austin, TX 78758-6506 - Phone
- (512) 836-2150
- Fax
- (512) 836-2159
- NPI assigned
- Jun 22, 2010
- Last updated
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 65185 | TX | Primary |
Addresses
Primary practice location
1600 Payton Gin Rd
Austin, TX 78758-6506
Mailing address
1600 Payton Gin Rd
Austin, TX 78758-6506
Phone (512) 836-2150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65185 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Settlement Club | Counselor | 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, 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": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1730400938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PAYTON GIN RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586506",
"telephone_number": "512-836-2150",
"fax_number": "512-836-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PAYTON GIN RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586506",
"telephone_number": "512-836-2150",
"fax_number": "512-836-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUR",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.