Dee Anna Jeter, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14196 Issued in TX

Practice address

125 Grove CRK
Waco, TX 76708-3749

Phone

(254) 722-8067

NPI assigned

Jan 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1821235862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GROVE CRK",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083749",
            "telephone_number": "254-722-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GROVE CRK",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083749",
            "telephone_number": "254-722-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "DEE",
        "middle_name": "ANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF TEXAS",
            "identifier": "82406L",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROFESSIONAL RELATIONS",
            "identifier": "184888",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095743302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S HEALTH INSURANCE PROGRAM",
            "identifier": "823696",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall D. Jensen, M.D.
• Meredith McCoy Jergins, PA-C
• Floyd Edsil Jernigan, M.D.
• Jyotsna Jerome
• Richard Jespersen, PHARMD
• Ashton Fisher Jimenez, MS, LPC-S
• Natalia Jimenez, PH.D.
• Shyteria Jimerson, LMT
• Chetan Jinadatha, MD, MPH
• Jmill Enterprises

• Mental Health Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.