MEDICARE: JINJIN LU

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	101823	TX

General Provider Information

NPI Number	:	1366383929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JINJIN LU

Provider Business Mailing Address
First Line	:	463 BETONY LOOP
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-4405
Country	:	US
Telephone Number	:	512-758-1926
Fax Number	:

Provider Business Practice Location Address
First Line	:	9011 MOUNTAIN RIDGE DR STE 250
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-7640
Country	:	US
Telephone Number	:	512-578-8070
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ JINJIN LU ” Practice Location

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