Active NPI
Jason Chadderdon, LPC ASSOCIATE
- Professional Counselor
- Dallas, TX
National Provider Identifier
1265245179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94849
- Practice address
- 11300 N Central Expy Ste 400
Dallas, TX 75243-6712 - Phone
- (469) 607-0076
- NPI assigned
- Jan 27, 2025
- Last updated
- Jul 22, 2026
- Sex
- Male
- 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 | 94849 | TX | Primary |
Addresses
Primary practice location
11300 N Central Expy Ste 400
Dallas, TX 75243-6712
Mailing address
105 Tangle Ridge LN
Georgetown, TX 78633-4687
Phone (415) 265-2154
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 |
|---|---|---|---|
| 94849 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1265245179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 TANGLE RIDGE LN",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786334687",
"telephone_number": "415-265-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 N CENTRAL EXPY STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436712",
"telephone_number": "469-607-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADDERDON",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-27",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "94849",
"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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.