Individual provider Active NPI

Joe Yow

  • Counselor
  • Dallas, TX
National Provider Identifier
1215500319
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1023 W Clarendon Dr
Dallas, TX 75208-7004
Phone
(469) 552-5064
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1023 W Clarendon Dr
Dallas, TX 75208-7004

Mailing address

104 E Ovilla Rd Unit 1119
Red Oak, TX 75154-9274
Phone (469) 216-7502

Other practice location 1

625 Cherry Hill Rd
Red Oak, TX 75154-2735
Phone (469) 216-7502

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

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Positive Impact Coaching CurrentSince Jul 23, 2023 Accepting new patients

Locations

1023 W Clarendon Dr
Dallas, TX 75208
Phone (469) 216-7502

104 E Ovilla Rd
Unit 1119
Red Oak, TX 75154

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1215500319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OVILLA RD UNIT 1119",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751549274",
            "telephone_number": "469-216-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W CLARENDON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752087004",
            "telephone_number": "469-552-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Cherry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751542735",
            "country_code": "US",
            "telephone_number": "469-216-7502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOW",
        "first_name": "JOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.