Organization Active NPI

Jafa Group, Inc.

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1205382918
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24433 Issued in TX
Legal business name
JAFA GROUP, INC.
Practice address
110 W Randol Mill Rd
Arlington, TX 76011-4611
Phone
(817) 721-8074
Fax
(817) 277-1144
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
JAMES A. FARMER PHD.,LCSWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mr. James A Farmer, PH.D.NPI 1649329673
Title
Therapist
Phone
(817) 721-8074

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 Worker 1041C0700X 24433 TX Primary

Addresses

Primary practice location

110 W Randol Mill Rd
Arlington, TX 76011-4611

Mailing address

1441 Palmnild Circle West
Fort Worth, TX 76120-4707
Phone (817) 721-8074

Other identifiers 1

IdentifierTypeStateIssuer
064220901MedicaidTX

National Provider Directory

National Provider Directory

Locations

110 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 721-8074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1205382918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PALMNILD CIRCLE WEST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204707",
            "telephone_number": "817-721-8074",
            "fax_number": "817-277-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114611",
            "telephone_number": "817-721-8074",
            "fax_number": "817-277-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFA GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES A. FARMER PHD.,LCSW",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "817-721-8074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064220901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.