Provider Demographics
NPI:1598139412
Name:ORTEGA, JENNIFER LISA (DPC, LPC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LISA
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:DPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6455
Mailing Address - Country:US
Mailing Address - Phone:956-358-4895
Mailing Address - Fax:
Practice Address - Street 1:3313 CORNELL AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6455
Practice Address - Country:US
Practice Address - Phone:956-358-4895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357944303Medicaid
TXH08HN46701OtherBCBS