Active NPI
Jessica Endres, PHD, LPC, NCC
- Professional Counselor
- Austin, TX
National Provider Identifier
1801458310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78014
- Practice address
- 5900 Balcones Dr Ste 100
Austin, TX 78731-4298 - Phone
- (214) 702-6556
- NPI assigned
- Jul 4, 2019
- Last updated
- Oct 14, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78014 | TX | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Mailing address
11816 Inwood Rd
PMB 5256
Dallas, TX 75244-4298
Other practice location 1
207 Rock Prairie Rd Ste A
College Station, TX 77845-8777
Phone (979) 229-7636
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78014 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1801458310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11816 INWOOD RD",
"address_2": "PMB 5256",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "214-702-6556"
}
],
"practiceLocations": [
{
"address_1": "207 Rock Prairie Rd Ste A",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778458777",
"country_code": "US",
"telephone_number": "979-229-7636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENDRES",
"first_name": "JESSICA",
"credential": "PHD, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-04",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78014",
"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 Oct 14, 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.