JADE ANNA PENICK NPI 1790690410

NPI Information

  • NPI: 1790690410
  • Provider Name: JADE ANNA PENICK
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 675 TOWN SQUARE BLVD
    GARLAND, TX
    ZIP 75040
  • Phone: (469) 609-7181

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NPI Details

Jade Anna Penick is a professional counselor in Garland, TX. Jade Anna Penick NPI is 1790690410. The provider is registered as an individual entity type.

The provider's business location address is:

675 TOWN SQUARE BLVD
GARLAND, TX
ZIP 75040-992
Phone: (469) 609-7181

The enumeration date for this NPI number is 8/17/2026 and was last updated on 8/17/2026.

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
1101YP2500XCounselorProfessional103412TEXASYes

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

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