Individual provider Active NPI

Jennifer Deyne, M. ED., LPC-S, LSOTP

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1922540624
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18943 Issued in TX
Practice address
3663 N Sam Houston Pkwy E
Suite 610
Houston, TX 77032-3600
Phone
(281) 387-6332
NPI assigned
Nov 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18943 TX Primary

Addresses

Primary practice location

3663 N Sam Houston Pkwy E
Suite 610
Houston, TX 77032-3600

Mailing address

3663 N Sam Houston Pkwy E
Suite 610
Houston, TX 77032-3600
Phone (281) 387-6332

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
18943TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1922540624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323600",
            "telephone_number": "281-387-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323600",
            "telephone_number": "281-387-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYNE",
        "first_name": "JENNIFER",
        "credential": "M. ED., LPC-S, LSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.