Active NPI
Jennifer Kenley, LPC-S, NCC
- Professional Counselor
- Wimberley, TX
National Provider Identifier
1891005187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60577
- Practice address
- 282 Old Kyle Rd
Wimberley, TX 78676-2020 - Phone
- (979) 574-5966
- NPI assigned
- Oct 20, 2010
- 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 | 60577 | TX | Primary |
Addresses
Primary practice location
282 Old Kyle Rd
Wimberley, TX 78676-2020
Mailing address
282 Old Kyle Rd
Wimberley, TX 78676-2020
Phone (979) 574-5966
Other practice location 1
3915 Lienz Ln
College Station, TX 77845-4062
Phone (979) 574-5966
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 |
|---|---|---|---|
| 60577 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1891005187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 OLD KYLE RD",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786762020",
"telephone_number": "979-574-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 OLD KYLE RD",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786762020",
"telephone_number": "979-574-5966"
}
],
"practiceLocations": [
{
"address_1": "3915 Lienz Ln",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778454062",
"country_code": "US",
"telephone_number": "979-574-5966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENLEY",
"first_name": "JENNIFER",
"credential": "LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wimberley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.