NPIMap

Organization Active NPI

Jamison Professional Counseling Center Inc

  • Clinical Social Worker
  • Fredericksburg, TX
National Provider Identifier
1104994284
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005794 Issued in TX
Legal business name
JAMISON PROFESSIONAL COUNSELING CENTER INC
Practice address
111 Songbird Dr
Fredericksburg, TX 78624-5447
Phone
(325) 829-9446
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Jeffrey David Jamison, LCSWNPI 1770604373
Title
President
Phone
(325) 829-9446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 005794 TX Primary

Addresses

Primary practice location

111 Songbird Dr
Fredericksburg, TX 78624-5447

Mailing address

PO Box 1116
Fredericksburg, TX 78624-1116
Phone (325) 829-9446

Other identifiers 1

IdentifierTypeStateIssuer
306522902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000177 TX Part B Supplier - Clinic/Group Practice 2163618901 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, TX

National Provider Directory

National Provider Directory

Locations

3233 S Willis St
Abilene, TX 79605
Phone (325) 437-1184

1111 Industrial Blvd
Bldg 2
Abilene, TX 79602
Phone (325) 795-9140

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1104994284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241116",
            "telephone_number": "325-829-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SONGBIRD DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245447",
            "telephone_number": "325-829-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON PROFESSIONAL COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-829-9446",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "005794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306522902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.