Jennifer Lauren Ackerman, MS, LMFT-A, LPC-I

Individual provider Active NPI Mental Health Counselor · League City, TX

NPI 1780175265 · NPPES record last updated May 21, 2018

Key facts

NPI
1780175265
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
202764 (TX)
Practice address
303 E Main St # 235
League City, TX 77573-3742
Phone
(281) 944-8218
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
202764TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 202764 TX Yes

Addresses

Primary practice location

303 E Main St # 235
League City, TX 77573-3742

Mailing address

821 Marlin St
Bayou Vista, TX 77563-2614

Other providers in League City, TX

All providers in League City, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.