Jenna Pack

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

95309 Issued in TX

Practice address

721 Ranch House Rd
Willow Park, TX 76087-7613

Phone

(254) 624-7127

NPI assigned

Sep 4, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2025.

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1871473553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WILLOW CREEK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760853638",
            "telephone_number": "254-624-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RANCH HOUSE RD",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760877613",
            "telephone_number": "254-624-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Neumann, R.D., L.D.
• Cameran Nguyen, D.O.
• North Star MCD, LLC
• North Star MCD, LLC
• Taylor Elizabeth Ochsner, RBT
• Jillian Pappas
• Parker County Hospital District
• Royce Alan Petty, RPH
• Eric Phillips
• Brendan Pollard

• All providers in Willow Park, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.