DR. JENNIFER LACEY HEISSER (NPI# 1699979328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699979328 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LACEY HEISSER |
| Credential | PHD LMFT |
| Practice Address |
4630 50th St Ste 507 Lubbock TX 79414-3520 |
| Practice Telephone | 8065444045 |
| Mailing Telephone | 8065444045 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 200950 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LMFT | 200950 | 01 |
| Street Address |
4630 50TH ST STE 507 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915326 | Mazie Zielinski | Marriage & Family Therapist | 9305 Utica Dr, Lubbock, TX 79424-4821 | 2020-06-01 |
| 1871128066 | Claire Eggleston | Marriage & Family Therapist | 6963 22nd Pl, Lubbock, TX 79407-1313 | 2020-03-08 |
| 1962045682 | Alex Theobald | Marriage & Family Therapist | 165 Human Sciences Building, Akron St., Lubbock, TX 79409-7940 | 2019-10-25 |
| 1316420102 | Neli Morris | Marriage & Family Therapist | 8212 Ithaca Ave Ste E7c, Lubbock, TX 79423-2633 | 2018-09-08 |
| 1306328927 | Jaclyn Danielle Cravens Pickens | Marriage & Family Therapist | 8212 Ithaca Ave Ste E12, Lubbock, TX 79423-2615 | 2018-08-30 |
| 1760904437 | Lynn Whitfield | Marriage & Family Therapist | 4913 S Loop 289 Ste 100, Lubbock, TX 79424-1630 | 2017-07-13 |
| 1427585728 | Cynthia Dsauza | Marriage & Family Therapist | 4010 82nd St Ste 105, Lubbock, TX 79423-1956 | 2017-05-17 |
| 1144681966 | Randy Porter | Marriage & Family Therapist | 1924 Broadway, Lubbock, TX 79401-3018 | 2016-03-08 |
| 1861882219 | Sterling Shumway | Marriage & Family Therapist | 9103 Huron Ave, Lubbock, TX 79424-7841 | 2015-01-23 |
| 1780967943 | Kimberly Ann Kerksiek | Marriage & Family Therapist | 7606 University Ave, Suite B-3, Lubbock, TX 79423-2155 | 2011-09-23 |
| Find all providers in LUBBOCK | ||||
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| 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.