Active NPI
Jessica Renee Wimberley, LPC, LCDC-I
- Professional Counselor
- Marble Falls, TX
National Provider Identifier
1922304534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64412
- Practice address
- 704 5TH St
Marble Falls, TX 78654-5724 - Phone
- (512) 970-5895
- NPI assigned
- Jan 28, 2011
- 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 | 64412 | TX | Primary |
Addresses
Primary practice location
704 5TH St
Marble Falls, TX 78654-5724
Mailing address
PO Box 1494
Burnet, TX 78611-7494
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 |
|---|---|---|---|
| 64412 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1922304534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1494",
"city": "BURNET",
"state": "TX",
"postal_code": "786117494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 5TH ST",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786545724",
"telephone_number": "512-970-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBERLEY",
"first_name": "JESSICA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LPC, LCDC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.