MEDICARE: MRS. JENNIFER ERIN JENKINS 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	18556	TX

General Provider Information

NPI Number	:	1942351689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ERIN JENKINS LPC

Provider Business Mailing Address
First Line	:	2309 COIT RD STE D
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-3759
Country	:	US
Telephone Number	:	972-589-4604
Fax Number	:

Provider Business Practice Location Address
First Line	:	2309 COIT RD STE D
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-3759
Country	:	US
Telephone Number	:	972-589-4604
Fax Number	:

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	11/14/2025

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