Active NPI
Jonathan Pumphrey, LMSW
- Social Worker
- Lewisville, TX
National Provider Identifier
1073084828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 61091
- Practice address
- 105 Kathryn Dr Ste 3a
Lewisville, TX 75067-4216 - Phone
- (972) 724-2005
- NPI assigned
- Dec 5, 2018
- Last updated
- Dec 5, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 61091 | TX | Primary |
Addresses
Primary practice location
105 Kathryn Dr Ste 3a
Lewisville, TX 75067-4216
Mailing address
1705 Meadowview Dr
Corinth, TX 76210-4114
Phone (817) 403-7870
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61091 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pride Mental Health | Past | Accepting new patients | |
| Foothills Counseling & Wellness LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1922467976
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1588199277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1073084828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 MEADOWVIEW DR",
"city": "CORINTH",
"state": "TX",
"postal_code": "762104114",
"telephone_number": "817-403-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KATHRYN DR STE 3A",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674216",
"telephone_number": "972-724-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMPHREY",
"first_name": "JONATHAN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "61091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
- Prohealth Mobility LLC
- Prosthetic-Orthotic Associates of North Texas, Inc.
- Rouhollah F Prueitt, MD
- Psychoneuroplasticity, LLC (PsychoNeuroPlasticity (PNP) Center)
- Eric Puentes, PT, DPT
- Purav B Patel, DDS, PLLC (Common Roots Family Dental)
- Purepath Lab & Therapeutics, LLC
- Sandhya Puri, FNP
- Traci Mechelle Pyles, LPC
- Bao Tran Quach, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.