Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jill Renee Van Dyke, LPC-A

Individual provider Mental Health Counselor · NPI 1962173005

Mrs. Jill Renee Van Dyke, LPC-A is a Mental Health Counselor in Prosper, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
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Practice location Address checks out

161 W 3rd St Ste 100
Prosper, TX 75078-2906
Phone: (214) 618-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 84925 (TX)

Record details

NPI number1962173005
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-A
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

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