Wales Counseling Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

41529 Issued in TX

Legal business name

WALES COUNSELING CENTER, PLLC

Practice address

2000 E Lamar Blvd
Suite 600
Arlington, TX 76006-7346

Phone

(214) 519-9473

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Sedrick Wales Jackson, LCSWNPI 1811443039

Title

Owner

Phone

(214) 519-9473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Sedrick Wales Jackson

  • Clinical Social Worker
  • Arlington, TX
  • NPI 1811443039
  Medicare reassignment Authorized official
• Evelyn Salazar Jackson, MSW, LCSW

  • Clinical Social Worker
  • Arlington, TX
  • NPI 1497441588
  Medicare reassignment NPD

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1194958769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD",
            "address_2": "SUITE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067346",
            "telephone_number": "214-519-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD",
            "address_2": "SUITE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067346",
            "telephone_number": "214-519-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALES COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SEDRICK",
        "authorized_official_middle_name": "WALES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-519-9473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.