MRS. JENNIFER MERRILL BACA DAVILA (NPI# 1578085171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578085171 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MERRILL BACA DAVILA |
| Other Name | JENNIFER MERRILL BACA |
| Credential | LPC |
| Practice Address |
13740 Research Blvd Ste N8 Austin TX 78750-1834 |
| Practice Telephone | 5129397769 |
| Practice Fax Number | 5129397769 |
| Mailing Telephone | 5129397769 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
71881 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 W 11th St Ste B, Austin, TX 787012058 | 5129397769 | 5129397769 |
| Street Address |
13740 RESEARCH BLVD STE N8 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023534294 | Deep Waters Austin LLC | Clinic/Center | 13740 Research Blvd Ste N8, Austin, TX 78750-1834 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1811596372 | Alexandra Caron | Counselor | 11900 Hobby Horse Ct Apt 434, Austin, TX 78758-2953 | 2020-10-25 |
| 1003415068 | Thomas Craig Saathoff | Counselor | 1616 Headway Cir, Austin, TX 78754-5106 | 2020-10-21 |
| 1699373746 | Molly Roth | Counselor | 7703 N Lamar Blvd Ste 500, Austin, TX 78752-1055 | 2020-10-12 |
| 1063010098 | Lindsey Witz | Counselor | 2525 Wallingwood Dr Ste 301, Austin, TX 78746-6922 | 2020-10-12 |
| 1396350823 | Natalie Hussung Schneider | Counselor | 7703 N Lamar Blvd Ste 340, Austin, TX 78752-1061 | 2020-09-11 |
| 1174135818 | Melanie Dyer | Counselor | 401 Little Texas Ln Apt 1526, Austin, TX 78745-4135 | 2020-08-22 |
| 1366053563 | Selena E Coburn | Counselor | 4424 Gaines Ranch Loop Apt 1434, Austin, TX 78735-6540 | 2020-08-11 |
| 1235748674 | Paz Behavioral Health, Pllc | Counselor | 3310 W Braker Ln Ste 300545, Austin, TX 78758-7853 | 2020-07-30 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER MERRILL BACA DAVILA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.