Active NPI
Jennifer Dunham, LPC
- Professional Counselor
- West Lake Hills, TX
National Provider Identifier
1801935630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15571
- Practice address
- 3355 Bee Cave Rd
Suite 505
West Lake Hills, TX 78746-6775 - Phone
- (512) 329-8088
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 15571 | TX | Primary |
Addresses
Primary practice location
3355 Bee Cave Rd
Suite 505
West Lake Hills, TX 78746-6775
Mailing address
3355 Bee Cave Rd
Suite 505
West Lake Hills, TX 78746-6775
Phone (512) 329-8088
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 |
|---|---|---|---|
| 15571 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801935630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 BEE CAVE RD",
"address_2": "SUITE 505",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466775",
"telephone_number": "512-329-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 BEE CAVE RD",
"address_2": "SUITE 505",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466775",
"telephone_number": "512-329-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.