Individual provider Active NPI

Dejai Nelson-Parten, LMFT ASSOCIATE

  • Marriage & Family Therapist
  • Killeen, TX
National Provider Identifier
1124514294
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205077 Issued in TX
Practice address
4100 Mesa Dr
Killeen, TX 76542-3156
Phone
(254) 213-3705
Fax
(254) 230-1007
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 205077 TX Primary

Addresses

Primary practice location

4100 Mesa Dr
Killeen, TX 76542-3156

Mailing address

4100 Mesa Dr
Killeen, TX 76542-3156
Phone (254) 213-3705

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
205077TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Ribbon Counseling PLLC Marriage & Family Therapist CurrentSince Apr 20, 2025 Accepting new patients

Locations

4100 Mesa Dr
Killeen, TX 76542
Phone (254) 213-3705

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1124514294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MESA DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423156",
            "telephone_number": "254-213-3705",
            "fax_number": "254-230-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MESA DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423156",
            "telephone_number": "254-213-3705",
            "fax_number": "254-230-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-PARTEN",
        "first_name": "DEJAI",
        "credential": "LMFT ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.