Active NPI
Jesse Harley Steen, LPC-INTERN
- Counselor
- Austin, TX
National Provider Identifier
1962966978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 79480
- Practice address
- 601 W 18TH St
Austin, TX 78701-1111 - Phone
- (512) 766-6866
- NPI assigned
- Jan 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 79480 | TX | Primary |
Addresses
Primary practice location
601 W 18TH St
Austin, TX 78701-1111
Mailing address
7503 Glenhill Rd
Austin, TX 78752-2011
Phone (512) 971-6053
Other practice location 1
4601 Spicewood Springs Rd
Austin, TX 78759-8598
Phone (512) 766-6866
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 |
|---|---|---|---|
| 79480 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1962966978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7503 GLENHILL RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787522011",
"telephone_number": "512-971-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 18TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011111",
"telephone_number": "512-766-6866"
}
],
"practiceLocations": [
{
"address_1": "4601 Spicewood Springs Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598598",
"country_code": "US",
"telephone_number": "512-766-6866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEEN",
"first_name": "JESSE",
"middle_name": "HARLEY",
"name_prefix": "Mr.",
"credential": "LPC-INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "79480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.