Individual provider Active NPI

Jennifer Gladys McSparron, LPC

  • Counselor
  • Dallas, TX
National Provider Identifier
1043788995
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
82827 Issued in TX
Practice address
3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone
(214) 743-1200
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 82827 TX Primary

Addresses

Primary practice location

3330 S Lancaster Rd
Dallas, TX 75216-4531

Mailing address

2007 N Collins Blvd Ste 411
Richardson, TX 75080-2665
Phone (469) 855-9373

Other practice location 1

2600 SW Holden St
Seattle, WA 98126-3505
Phone (206) 265-2286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523001931 TX Practitioner - Mental Health Counselor 7416476262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince May 19, 2025 Accepting new patients

Locations

3330 S Lancaster Rd
Dallas, TX 75216
Phone (214) 371-0474

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1043788995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N COLLINS BLVD STE 411",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802665",
            "telephone_number": "469-855-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 SW Holden St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981263505",
            "country_code": "US",
            "telephone_number": "206-265-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCSPARRON",
        "first_name": "JENNIFER",
        "middle_name": "GLADYS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "82827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.