Organization Active NPI

Jeri Kounce, LPC, LLC

  • Community/Behavioral Health Agency
  • Midland, TX
National Provider Identifier
1962781682
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
61623 Issued in TX
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1986069 02MedicaidTX
1467626358OtherNPI 1
1216317OtherCAQH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.