Jill Fenner
Counselor β’ Lakeway, TX
1200 Lakeway Dr Ste 10
Lakeway, TX 787344456
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1200 Lakeway Dr Ste 10
Lakeway, TX 787344456
NPPES lists 2 distinct additional practice-address records in Dallas, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Counselor: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Lakeway and Texas
2 active clinicians are listed under Counselor with a practice address in Lakeway, TX (3,391 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-06-11NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Practice Locations
17740 Preston Rd Ste 100c
Dallas, TX 752525827
Phone: 4696237100
17210 Campbell Rd, Suite 200
Dallas, TX 752524202
Phone: 9722501700
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1200 LAKEWAY DR STE 10, LAKEWAY, TX 787344456 (Tel: 5124775445)
Registered at 1200 LAKEWAY DR STE 10, LAKEWAY, TX 787344456
Additional practice office at 17740 Preston Rd Ste 100C, Dallas, TX 752525827
Additional practice office at 17210 Campbell Rd, Suite 200, Dallas, TX 752524202
Recorded as JILL FENNER
Registered at 17740 PRESTON RD STE 100C, DALLAS, TX 752525827 (Tel: 4696237100)
Registered at 2418 ELLIS ST APT 402, DALLAS, TX 752040756
NPI status registered as active in NPPES database
Registered at 17210 CAMPBELL RD, SUITE 200, DALLAS, TX 752524202 (Tel: 9722501700)
Registered at 3200 MAPLE AVE, APT. 321, DALLAS, TX 752011249
Recorded as JILL FREEZE
Counselor (license number reported to NPPES: TX 76208)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1200 Lakeway Dr Ste 10
Lakeway, TX 787344456