Active NPI
Jeri Kounce, LPC, LLC
- Community/Behavioral Health Agency
- Midland, TX
National Provider Identifier
1962781682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 61623
- Legal business name
- JERI KOUNCE, LPC, LLC
- Practice address
- 1030 Andrews Hwy
Suite 203-B
Midland, TX 79701-3872 - Phone
- (432) 553-4697
- Fax
- (432) 694-2525
- NPI assigned
- Aug 11, 2011
- Organization subpart
- Yes
- Parent organization
- JERI KOUNCE, LPC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jeri Jo Kounce, LPC
- Title
- Counselor/Owner
- Phone
- (432) 553-4697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 61623 | TX | Primary |
Addresses
Primary practice location
1030 Andrews Hwy
Suite 203-B
Midland, TX 79701-3872
Mailing address
1030 Andrews Hwy
Suite 203-B
Midland, TX 79701-3872
Phone (432) 553-4697
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1986069 02 | Medicaid | TX | |
| 1467626358 | Other | NPI 1 | |
| 1216317 | Other | CAQH |
National Provider Directory
National Provider DirectoryLocations
1030 Andrews Hwy
Ste 203B
Midland, TX 79701
Phone (432) 553-4697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1962781682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 ANDREWS HWY",
"address_2": "SUITE 203-B",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013872",
"telephone_number": "432-553-4697",
"fax_number": "432-694-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 ANDREWS HWY",
"address_2": "SUITE 203-B",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013872",
"telephone_number": "432-553-4697",
"fax_number": "432-694-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERI KOUNCE, LPC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JERI KOUNCE, LPC, LLC",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "KOUNCE",
"authorized_official_first_name": "JERI",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "COUNSELOR/OWNER",
"authorized_official_telephone_number": "432-553-4697",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "61623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1986069 02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "1467626358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "1216317",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.