MEDICARE: JESSICA BARGENQUEST MA, 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	15320	TX

General Provider Information

NPI Number	:	1144194333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA BARGENQUEST MA, LPC

Provider Business Mailing Address
First Line	:	5570 FM 423 STE 250
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-8929
Country	:	US
Telephone Number	:	214-617-8237
Fax Number	:

Provider Business Practice Location Address
First Line	:	5570 FM 423 STE 250
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-8929
Country	:	US
Telephone Number	:	214-671-8237
Fax Number	:

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

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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Directions to “ JESSICA BARGENQUEST MA, LPC” Practice Location

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