Healthcare Provider Details

I. General information

NPI: 1114821543
Provider Name (Legal Business Name): JESSICA JUNE BJERKE LPC - ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 S I-35 FRONTAGE ROAD # 340
AUSTIN TX
78704
US

IV. Provider business mailing address

4260 AMBLE CHASE DR
JOHNS ISLAND SC
29455-8455
US

V. Phone/Fax

Practice location:
  • Phone: 512-649-5789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number96529
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: