Active NPI
Marian Hubbard Jefferson, D MIN., LCDC
- Addiction (Substance Use Disorder) Counselor
- Dallas, TX
National Provider Identifier
1003739012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11418
- Practice address
- 4101 McEwen Rd Ste 140
Dallas, TX 75244-5478 - Phone
- (214) 550-7150
- Fax
- (214) 550-3864
- NPI assigned
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11418 | TX | Primary |
Addresses
Primary practice location
4101 McEwen Rd Ste 140
Dallas, TX 75244-5478
Mailing address
7310 Elderberry Cir
Dallas, TX 75249-1040
Phone (214) 732-3544
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Point Healthcare Services of Texas | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dallas, TX
- NPI 1932998382
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1003739012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 ELDERBERRY CIR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752491040",
"telephone_number": "214-732-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 MCEWEN RD STE 140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445478",
"telephone_number": "214-550-7150",
"fax_number": "214-550-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "MARIAN",
"middle_name": "HUBBARD",
"name_prefix": "Dr.",
"credential": "D MIN., LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.