Individual provider Active NPI

Jodi Vanessa Creager-Plummer, LPCC/LPC

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1043435092
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
68021 Issued in TX
Practice address
1601 E Lamar Blvd
Suite 214
Arlington, TX 76011-4510
Phone
(575) 635-7819
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0123831 NM
Mental Health Counselor 101YM0800X 68021 TX Primary

Addresses

Primary practice location

1601 E Lamar Blvd
Suite 214
Arlington, TX 76011-4510

Mailing address

1601 E Lamar Blvd
Suite 214
Arlington, TX 76011-4510
Phone (575) 635-7819

Other names 1

  • Miss Jodi Vanessa Creager Former name

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

State licenses

LicenseStateTypeSpecialty
0123831NMMDMental Health Counselor
68021TXMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1043435092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD",
            "address_2": "SUITE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114510",
            "telephone_number": "575-635-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD",
            "address_2": "SUITE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114510",
            "telephone_number": "575-635-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGER-PLUMMER",
        "first_name": "JODI",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "LPCC/LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0123831",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "CREAGER",
            "middle_name": "VANESSA",
            "prefix": "MISS",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.