Active NPI
Enjole Dionne Delgado, MACC, LPC
- Professional Counselor
- Mansfield, TX
National Provider Identifier
1083962146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69421
- Practice address
- 604 Strada Cir
Mansfield, TX 76063-3201 - Phone
- (817) 453-2400
- Fax
- (817) 453-2414
- NPI assigned
- Aug 21, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 69421 | TX | |
| Pastoral Counselor | 101YP1600X | 69421 | TX | |
| Professional Counselor | 101YP2500X | 69421 | TX | Primary |
Addresses
Primary practice location
604 Strada Cir
Mansfield, TX 76063-3201
Mailing address
604 Strada Cir
Mansfield, TX 76063-3201
Phone (817) 453-2400
Other practice location 1
312 E Renfro St
Suite 201
Burleson, TX 76028-3947
Phone (817) 295-8708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083962146 | Other | TX | FOCUS FOR LIVING |
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 |
|---|---|---|---|
| 69421 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jones Center for Children's Therapy and Assessment | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Child & Adolescent Psychologist
- Mansfield, TX
- NPI 1447534565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083962146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 STRADA CIR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633201",
"telephone_number": "817-453-2400",
"fax_number": "817-453-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 STRADA CIR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633201",
"telephone_number": "817-453-2400",
"fax_number": "817-453-2414"
}
],
"practiceLocations": [
{
"address_1": "312 E Renfro St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Burleson",
"state": "TX",
"postal_code": "760283947",
"country_code": "US",
"telephone_number": "817-295-8708",
"fax_number": "817-295-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "ENJOLE",
"middle_name": "DIONNE",
"name_prefix": "Mrs.",
"credential": "MACC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69421",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": "69421",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOCUS FOR LIVING",
"identifier": "1083962146",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
- Francisco J De la Torre, M.D.
- Benjamin Dean, DPT
- Debbie Lane Dental & Orthodontics, PLLC
- Decatur Hospital Authority (Mansfield Medical Lodge)
- Joshua Del Rosario
- Denise Bruckerhoff DO PLLC (Bruckerhoff Internal Medicine Associates)
- Dental Health Associates of Texas, PC (Colby Crossing Dental Care)
- Dental Health Associates of Texas, PC. (Mansfield Dental Care)
- Dental Now
- Dentists of Mansfield PC (Dentists of Mansfield)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.