MEDICARE: JENNA TOMLINSON

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	101YP2500X	Professional Counselor	84233	TX
2	101YP2500X	Professional Counselor	0019444	CO
3	101YP2500X	Professional Counselor	11797-125	WI

General Provider Information

NPI Number	:	1770205403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA TOMLINSON

Provider Business Mailing Address
First Line	:	12740 HILLCREST RD STE 270
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12740 HILLCREST RD STE 270
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2086
Country	:	US
Telephone Number	:	214-455-2249
Fax Number	:

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

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	02/10/2026

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Directions to “ JENNA TOMLINSON ” Practice Location

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