Individual provider Active NPI

Brittany Joyce Miles Jacquote, LMFT, LCDC

  • Marriage & Family Therapist
  • Frisco, TX
National Provider Identifier
1114507217
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202524 Issued in TX
Practice address
12532 Littlefield Dr
Frisco, TX 75035-2315
Phone
(940) 441-5510
Fax
(940) 283-0170
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202524 TX Primary

Addresses

Primary practice location

12532 Littlefield Dr
Frisco, TX 75035-2315

Mailing address

2435 N Central Expy Ste 1200
Richardson, TX 75080-2747
Phone (940) 441-5510

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
202524TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1114507217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 N CENTRAL EXPY STE 1200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802747",
            "telephone_number": "940-441-5510",
            "fax_number": "940-283-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12532 LITTLEFIELD DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352315",
            "telephone_number": "940-441-5510",
            "fax_number": "940-283-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES JACQUOTE",
        "first_name": "BRITTANY",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LMFT, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.