Provider Demographics
NPI:1609206788
Name:JESSEN, JENNIFER BIMELER (MA, LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:BIMELER
Last Name:JESSEN
Suffix:
Gender:F
Credentials:MA, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:STE. 450
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:832-237-2673
Mailing Address - Fax:832-237-2676
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:STE. 450
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:832-237-2673
Practice Address - Fax:832-237-2676
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11810101YA0400X
TX66398101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)