Provider Demographics
NPI:1659824233
Name:MCDONALD, JANEL STEPHANIE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:STEPHANIE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 BRENHAM LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3551
Mailing Address - Country:US
Mailing Address - Phone:512-337-2219
Mailing Address - Fax:512-337-7231
Practice Address - Street 1:1228 BRENHAM LN
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3551
Practice Address - Country:US
Practice Address - Phone:919-888-3321
Practice Address - Fax:512-337-7231
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7650101YP2500X
171M00000X
TX86570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1659824233Medicaid