Jessica Villarreal, PH.D, LPC-S, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203094 Issued in TX

Practice address

1735 Keller Springs Rd Ste 202
Carrollton, TX 75006-3006

Phone

(214) 618-8402

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Bordlemay Other name

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.jessicavillarreal@136732.advancedmd-direct.com

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.

• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238
  Medicare reassignment NPD
• Peace by Piece Counseling PLLC

  • Professional Counselor
  • Abilene, TX
  • NPI 1063093953

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1255967659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063006",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063006",
            "telephone_number": "214-618-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 W 3rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782906",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Capital Of Texas Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466544",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JESSICA",
        "credential": "PH.D, LPC-S, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68336",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68336",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BORDLEMAY",
            "credential": "M.S., LPC-S, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vfam PLLC (ADHD Center of north Dallas)
• Naheed Vidhani
• Raziabdullah Vidhani
• Vidyasagar Chodimella, MD, Facc, P.a.
• Hope Villarreal
• Shandira Shanty Villatoro
• Virtuoso Spine and Joint Carrollton PLLC
• Hannah Visscher, MS, CCC-SLP
• Malvern Vito
• Bob Vittetoe, DDS

• Marriage & Family Therapist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.