Individual provider Active NPI

Chelsea R Jaubert, MS IN MFT

  • Marriage & Family Therapist
  • Fort Worth, TX
National Provider Identifier
1003624966
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205800 Issued in TX
Practice address
4404 Stepping Stone Dr
Fort Worth, TX 76123-1868
Phone
(817) 773-8326
NPI assigned
Dec 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 205800 TX Primary

Addresses

Primary practice location

4404 Stepping Stone Dr
Fort Worth, TX 76123-1868

Mailing address

PO Box 16243
Fort Worth, TX 76162-0243
Phone (817) 773-8326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
205800TXMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1003624966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16243",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620243",
            "telephone_number": "817-773-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 STEPPING STONE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231868",
            "telephone_number": "817-773-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUBERT",
        "first_name": "CHELSEA",
        "middle_name": "R",
        "credential": "MS IN MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.