JESSICA LANDAVERDE MA LPC NPI 1083301642

NPI Information

  • NPI: 1083301642
  • Provider Name: JESSICA LANDAVERDE, MA, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8267 FM 705
    BROADDUS, TX
    ZIP 75929
  • Phone: (936) 201-8625

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NPI Details

Jessica Landaverde, MA, LPC is a mental health counselor in Broaddus, TX. Jessica Landaverde, MA, LPC NPI is 1083301642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8267 FM 705
BROADDUS, TX
ZIP 75929-111
Phone: (936) 201-8625

The enumeration date for this NPI number is 4/24/2023 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health82716TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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