Active NPI
Jade Skidmore
- Professional Counselor
- Denton, TX
National Provider Identifier
1235738311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73946
- Practice address
- 121 W Hickory St Ste 122
Denton, TX 76201-4190 - Phone
- (469) 860-6800
- NPI assigned
- Oct 20, 2020
- Last updated
- Dec 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73946 | TX | Primary |
Addresses
Primary practice location
121 W Hickory St Ste 122
Denton, TX 76201-4190
Mailing address
2328 Southway
Denton, TX 76207-1030
Phone (830) 857-3758
Other practice location 1
2328 Southway
Denton, TX 76207-1030
Phone (830) 857-3758
Other names 1
- Jade Hodges
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73946 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWHS Ventures, LLC | Current | Accepting new patients | |
| Gifted Minds Counseling PLLC | Current | Accepting new patients |
Locations
121 W Hickory St
Ste 122
Denton, TX 76201
Phone (469) 860-6800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denton, TX
- NPI 1346048758
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denton, TX
- NPI 1164230116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1235738311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 SOUTHWAY",
"city": "DENTON",
"state": "TX",
"postal_code": "762071030",
"telephone_number": "830-857-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W HICKORY ST STE 122",
"city": "DENTON",
"state": "TX",
"postal_code": "762014190",
"telephone_number": "469-860-6800"
}
],
"practiceLocations": [
{
"address_1": "2328 Southway",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762071030",
"country_code": "US",
"telephone_number": "830-857-3758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKIDMORE",
"first_name": "JADE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JADE",
"last_name": "HODGES",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.