JACLYN HARTL M.ED, LPC - S
NPI 1295606275
Counselor - Professional in Port Lavaca, TX
Active since September 15, 2025
About Jaclyn Hartl M.ed, Lpc - S NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN HARTL M.ED, LPC - S (NPI 1295606275) is an individual professional provider in Port Lavaca, Texas, licensed in Texas (80869) and active in the NPI registry since September 2025.
NPPES Registry Identity
NPI1295606275
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACLYN HARTLCredential: M.ED, LPC - S
Location Address5415 STATE HIGHWAY 35 SPort Lavaca, TX 77979-5730
Mailing Address5415 State Highway 35 SPort Lavaca, TX 77979-5730 · (361) 648-2026
Phone(361) 648-2026
Sole ProprietorYes
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1295606275 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 80869
5415 STATE HIGHWAY 35 S, Port Lavaca, TX 77979
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295606275, enumerated as an "individual" on September 15, 2025.
The provider is located at 5415 STATE HIGHWAY 35 S PORT LAVACA, TX 77979 and the phone number is (361) 648-2026.
Counselor with taxonomy code 101YP2500X and a focus in Professional.