Individual provider Active NPI

Jennifer Abbey Vanness, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1811561533
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
11122 Wurzbach Rd Ste 206B
San Antonio, TX 78230-2574
Phone
(940) 487-7240
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

11122 Wurzbach Rd Ste 206B
San Antonio, TX 78230-2574

Mailing address

11122 Wurzbach Rd Ste 206B
San Antonio, TX 78230-2574
Phone (940) 487-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025001421 TX Practitioner - Mental Health Counselor 8820520166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Van Ness LPC Professional CurrentSince Aug 14, 2024 Accepting new patients

Locations

11122 Wurzbach Rd
Ste 206B
San Antonio, TX 78230
Phone (940) 487-7240

11122 Wurzbach Rd
Ste 206
San Antonio, TX 78230

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1811561533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 WURZBACH RD STE 206B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302574",
            "telephone_number": "940-487-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 WURZBACH RD STE 206B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302574",
            "telephone_number": "940-487-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNESS",
        "first_name": "JENNIFER",
        "middle_name": "ABBEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-04-28",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.