Active NPI
Jalynn Hogan, LCSW, LMFT
- Clinical Social Worker
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11888
- Practice address
- 10008 W County Road 116
Midland, TX 79706-2615 - Phone
- (432) 563-4144
- Fax
- (432) 561-8611
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11888 | TX | |
| Social Worker | 104100000X | 11888 | TX | |
| Marriage & Family Therapist | 106H00000X | 1678 | TX | |
| Clinical Social Worker | 1041C0700X | 11888 | TX | Primary |
Addresses
Primary practice location
10008 W County Road 116
Midland, TX 79706-2615
Mailing address
10008 W County Road 116
Midland, TX 79706-2615
Phone (432) 563-4144
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123660 | Other | TX | SUPERIOR HEALTH PLAN |
| 064185402 | Other | TX | TMHP |
| 0641854-02 | Medicaid | TX | |
| 5145094 | Other | TX | AETNA |
| 87362Q | Other | TX | BCBS INDIVIDUAL |
| OOT37A | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
983 N Texas St
Senior Suite Care and Rehab
Emory, TX 75440-2450
Phone (903) 473-3752
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11888 | TX | MD | Mental Health Counselor |
| 1678 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Counselor | Current | Accepting new patients |
Locations
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668
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": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1235244641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10008 W COUNTY ROAD 116",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062615",
"telephone_number": "432-563-4144",
"fax_number": "432-561-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10008 W COUNTY ROAD 116",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062615",
"telephone_number": "432-563-4144",
"fax_number": "432-561-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "JALYNN",
"credential": "LCSW, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "11888",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "11888",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1678",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "11888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLAN",
"identifier": "123660",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TMHP",
"identifier": "064185402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0641854-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5145094",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "87362Q",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OOT37A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.