MEDICARE: JENNIFER LE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH24485	FL
2	101YM0800X	Mental Health Counselor	71505	TX
3	101YP2500X	Professional Counselor	71505	TX
4	101YM0800X	Mental Health Counselor	LPC.0021949	CO

General Provider Information

NPI Number	:	1053790121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LE LPC

Provider Business Mailing Address
First Line	:	5830 COLLIN MCKINNEY PKWY STE 301
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5109
Country	:	US
Telephone Number	:	469-616-6187
Fax Number	:	972-289-9878

Provider Business Practice Location Address
First Line	:	5830 COLLIN MCKINNEY PKWY STE 301
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5109
Country	:	US
Telephone Number	:	469-616-6187
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	12/10/2025

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Directions to “ JENNIFER LE LPC” Practice Location

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