Individual provider Active NPI

Juanita Jacqueline Whittington, LCPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1962034116
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81411 Issued in TX
Practice address
600 Congress Ave FL 14
Austin, TX 78701-3263
Phone
(818) 253-1865
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.009715 IL
Mental Health Counselor 101YM0800X 81411 TX Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 9225 CA

Addresses

Primary practice location

600 Congress Ave FL 14
Austin, TX 78701-3263

Mailing address

5102 Danebridge Dr
Houston, TX 77084-2383
Phone (773) 882-6916

Other names 1

  • Juanita Jacqueline Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000368 TX Practitioner - Mental Health Counselor 4486003233 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.009715ILMDMental Health Counselor
9225CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Porter Medical Group P.C. Single Specialty CurrentSince Sep 6, 2025 Accepting new patients
Behavioral Health Specialists (de), P.a. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

315 Montgomery St
Fl 8
San Francisco, CA 94104

1550 Wewatta St
Ste 3141
Denver, CO 80202
Phone (833) 777-7208

1600 Golf Rd
Ste 1200
Rolling Meadows, IL 60008
Phone (224) 431-6221

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (512) 862-7200

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1962034116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 DANEBRIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842383",
            "telephone_number": "773-882-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CONGRESS AVE FL 14",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013263",
            "telephone_number": "818-253-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "JUANITA",
        "middle_name": "JACQUELINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009715",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81411",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "9225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "SMITH",
            "middle_name": "JACQUELINE",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.