JENNIFER KROCK (NPI# 1689025611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689025611 |
| Entity Type | Individual |
| Full Name | JENNIFER KROCK |
| Credential | MA |
| Practice Address |
1580 S Main St Ste 205 Boerne TX 78006-3311 |
| Practice Telephone | 2109205364 |
| Practice Fax Number | 8303318747 |
| Mailing Telephone | 2109205364 |
| Mailing Fax Number | 8303318747 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 71194 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16607 Blanco Rd, Suite 1404, San Antonio, TX 782321913 | 2102090642 | 8553578282 |
| Street Address |
1580 S MAIN ST STE 205 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443965 | Jennifer J. Krock Pllc | Counselor | 1580 S Main St Ste 205, Boerne, TX 78006-3311 | 2017-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437263191 | Erica Renee Dilsaver | Counselor | 114 Devonshire Rd, Boerne, TX 78006-1700 | 2006-08-19 |
| 1528171162 | Sherry A. Schmitz | Counselor | 110 Hilltop Dr, Boerne, TX 78006-2022 | 2006-08-17 |
| 1033742747 | Christin Hardwick | Counselor | 31320 Interstate 10 W Ste B, Boerne, TX 78006-5028 | 2020-02-20 |
| 1700275070 | Amy Wilson | Counselor | 31320 Interstate 10 W, Suite E, Boerne, TX 78006-5027 | 2015-01-09 |
| 1699916254 | Lucy K Ziegler | Counselor | 1001 S Main St, Suite 4, Boerne, TX 78006-2831 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.