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JEANIE LYN JEFFERSON LCSW
NPI 1255215984
Social Worker - Clinical in Southlake, TX

Active since August 05, 2025PECOS Enrolled
431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092(844) 824-8775(281) 648-2200 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Jul 24, 2026, Aug 5, 2025 (3 updates tracked since 2025).

About Jeanie Lyn Jefferson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANIE LYN JEFFERSON LCSW (NPI 1255215984) is an individual clinical provider in Southlake, Texas, licensed in Texas (106913) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255215984
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANIE LYN JEFFERSONCredential: LCSW
Location Address431 E STATE HIGHWAY 114 STE 140Southlake, TX 76092-4412
Mailing Address431 E State Highway 114 Ste 140Southlake, TX 76092-4412 · (844) 824-8775
Phone(844) 824-8775
Fax(281) 648-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 5, 2025
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1255215984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 106913
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
431 E STATE HIGHWAY 114 STE 140, Southlake, TX 76092
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Other Names 1

Former Name (1)Jeanie Jenicke Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanie Lyn Jefferson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002374816
PECOS Enrollment IDI20260821000027
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeanie Jefferson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Behavioral Health, PLLC
263 mi
Mental Health
308 S FRIENDSWOOD DR STE 200
Friendswood, TX 77546
  • Reassigned Medicare billing, Texas enrollment
  • 494 clinicians in this Medicare group
NPI 1659567238 (844) 824-8775

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESTINEE NICHOLE GREENWELL LPC, LCDC
Counselor (Mental Health)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (281) 819-1566
CAROLYN J CLONTZ MS,LMFT, LCDC
Marriage & Family Therapist
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
ELIZABETH WALKER PSY.D.
Psychologist (Clinical)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
MS. LEATHA JO NOWLAN LPC
Counselor (Professional)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
MRS. DEE HUNT LPC
Counselor (Professional)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
CARMEN SMITH LPC
Counselor (Professional)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
ROBERT P. MULLEN LPC-S
Counselor (Mental Health)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
HANNAH NJOKI GACHIHI APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanie Jefferson's NPI number?

The NPI number for Jeanie Jefferson is 1255215984. It was assigned to this individual provider in the NPPES registry on August 5, 2025. The provider is also known as Jeanie Jenicke Lcsw.

Where is Jeanie Jefferson located?

Jeanie Jefferson practices at 431 E State Highway 114 Ste 140, Southlake, TX 76092. The listed phone number is (844) 824-8775.

What is Jeanie Jefferson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeanie Jefferson enrolled in Medicare?

Yes. Jeanie Jefferson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanie Jefferson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanie Jefferson reassigns Medicare benefits to Progressive Behavioral Health, PLLC (Friendswood, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanie Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanie Jefferson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.