Provider Demographics
NPI:1326049057
Name:JERGINS, JANET L (LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:L
Last Name:JERGINS
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:LEAVELL
Other - Last Name:MUSICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:500 CHESTNUT ST
Mailing Address - Street 2:STE 1001
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-1453
Mailing Address - Country:US
Mailing Address - Phone:325-437-1001
Mailing Address - Fax:325-437-1005
Practice Address - Street 1:500 CHESTNUT ST
Practice Address - Street 2:STE 1001
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1453
Practice Address - Country:US
Practice Address - Phone:325-437-1001
Practice Address - Fax:325-437-1005
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10403101YM0800X
TX002452106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX026740301Medicaid