Provider Demographics
NPI:1386183127
Name:JEAN RAPER, LPC, M.ED., PLLC
Entity Type:Organization
Organization Name:JEAN RAPER, LPC, M.ED., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MED
Authorized Official - Phone:512-924-5170
Mailing Address - Street 1:13740 RESEARCH BLVD STE K2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1832
Mailing Address - Country:US
Mailing Address - Phone:512-924-5170
Mailing Address - Fax:512-686-3881
Practice Address - Street 1:13740 RESEARCH BLVD STE K2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1832
Practice Address - Country:US
Practice Address - Phone:512-924-5170
Practice Address - Fax:512-686-3881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13046101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty