JENNAFER P MOUNTAIN LPC, CST
NPI 1780222745
Counselor - Professional in Richardson, TX

Q: What is Jennafer Mountain's NPI number?

The NPI number for Jennafer Mountain is 1780222745. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Q: What is Jennafer Mountain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Jennafer Mountain enrolled in Medicare?

No. Jennafer Mountain has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennafer Mountain was last updated on December 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 20, 2019Opted out of Medicare · through Feb 1, 2028

1701 N COLLINS BLVD STE 235, RICHARDSON, TX 75080(972) 294-3691 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennafer P Mountain Lpc, Cst NPPES

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

JENNAFER P MOUNTAIN LPC, CST (NPI 1780222745) is an individual professional provider in Richardson, Texas, licensed in Texas (69410) and active in the NPI registry since December 2019. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1780222745

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNAFER P MOUNTAINCredential: LPC, CST

Location Address1701 N COLLINS BLVD STE 235Richardson, TX 75080-3553

Mailing Address1701 N Collins Blvd Ste 235Richardson, TX 75080-3553 · (972) 294-3691

Phone(972) 294-3691

Sole ProprietorYes

Enumeration DateDecember 20, 2019

✔ NPI 1780222745 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 · 69410

1701 N COLLINS BLVD STE 235, Richardson, TX 75080

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennafer P Mountain Lpc, Cst has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

KIMBERLY GALINDO

Counselor (Professional)