Active NPI 1013360718 Individual Practitioner Female Practitioner

Jill Fenner

Counselor • Lakeway, TX

Professional Overview & Biography Verified Profile Summary

Jill Fenner is a registered healthcare professional specializing in Counselor in Lakeway, TX. Practice services are available at 1200 LAKEWAY DR STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Lakeway Dr Ste 10

Lakeway, TX 787344456

Telephone 5124775445

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lakeway, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Lakeway, TX (3454 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-11

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 76208

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

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location June 11, 2022

Registered at 1200 LAKEWAY DR STE 10, LAKEWAY, TX 787344456 (Tel: 5124775445)

📍

Updated Business Mailing Address June 11, 2022

Registered at 1200 LAKEWAY DR STE 10, LAKEWAY, TX 787344456

👤

Provider Name / Credentials Updated June 11, 2022

Recorded as JILL FENNER

📍

Updated Practice Location February 11, 2019

Registered at 17740 PRESTON RD STE 100C, DALLAS, TX 752525827 (Tel: 4696237100)

📍

Updated Business Mailing Address February 11, 2019

Registered at 2418 ELLIS ST APT 402, DALLAS, TX 752040756

✅

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2016

Registered at 17210 CAMPBELL RD, SUITE 200, DALLAS, TX 752524202 (Tel: 9722501700)

📍

Updated Business Mailing Address July 18, 2016

Registered at 3200 MAPLE AVE, APT. 321, DALLAS, TX 752011249

👤

Provider Name / Credentials Updated July 18, 2016

Recorded as JILL FREEZE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Counselor (License #76208 in TX)

🟢

Initial NPI Registration & Enumeration July 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1013360718

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2016

Last Update: June 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Lakeway Dr Ste 10

Lakeway, TX 787344456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.