Provider Demographics
NPI:1063586717
Name:NORTON, JENNIFER ALLEN (MA, LPC-S)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ALLEN
Last Name:NORTON
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 HYMEADOW DR STE 400
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1935
Mailing Address - Country:US
Mailing Address - Phone:512-751-9023
Mailing Address - Fax:
Practice Address - Street 1:13740 RESEARCH BLVD STE K2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1832
Practice Address - Country:US
Practice Address - Phone:512-751-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7150LCOtherBCBS
TX173905401Medicaid