Jenni Profit

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

5787 S Hampton Rd Ste 340
Dallas, TX 75232-6335

Phone

(832) 829-3034

NPI assigned

Apr 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liah Wellness Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dallas, TX
  • NPI 1366297277
  NPD (past)

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1003662578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 MARTINGALE LN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752326335",
            "telephone_number": "832-829-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFIT",
        "first_name": "JENNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "5310",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Diagnostic Affiliates (DFW Pda)
• Professional Nutrition Therapists, LLC
• Professional Vascular Diagnostics Inc.
• John Leslie Proffitt, MD
• Amanda Lynn Profit, MD
• Progressive Anesthesia Institute PLLC
• Progressive Endodontics, P.a.
• Progressive Health Medical Associates, PLLC
• Progressive Health Medical Center PLLC
• Progressive Integrated Healthcare LLC

• Counseling Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.