Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Loeravasquez

Individual provider Professional Counselor · NPI 1104254853

Jennifer Loeravasquez is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2010, 16 years ago. Practices with Blank Slate Therapy, a 16-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3840 Hulen St Htn Client Accounting
Fort Worth, TX 76107-7277
Phone: (817) 569-4300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 67901 (TX)

Record details

NPI number1104254853
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2013
Last updated in NPPESFebruary 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Blank Slate Therapy — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Worth