Jimmy Ward

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69682 Issued in TX

Practice address

205 Center Ave
Brownwood, TX 76801-2919

Phone

(325) 649-4357

Fax

(325) 646-0919

NPI assigned

Sep 22, 2014

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pennissi P. Taylor PH.D,PC

  dba The Taylor Clinic

  • Clinical Psychologist
  • Brownwood, TX
  • NPI 1114073830
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1275935272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768041391",
            "telephone_number": "325-649-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CENTER AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768012919",
            "telephone_number": "325-649-4357",
            "fax_number": "325-646-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 N Greenville Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750028622",
            "country_code": "US",
            "telephone_number": "469-854-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JIMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12659",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0813)
• Wal-Mart Stores Texas, LP (Vision Center 30-0813)
• Walgreen Co (Walgreens #11926)
• Jessica L Waller, FNP-C
• Merciline Wanyonyi BSN, RN
• Melissa Watkins
• West Wharton County Hospital District (Avir at Brownwood)
• West Wharton County Hospital District (Oak Ridge Manor)
• West Wharton County Hospital District (Care Nursing & Rehabilitation)
• West Wharton County Hospital District (Songbird Lodge)

• Professional Counselor in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.