Jerold Lee Hildre, M.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16114 Issued in TX

Practice address

9300 Coit Rd
1424
Plano, TX 75025-4481

Phone

(214) 726-5451

Fax

(469) 362-6490

NPI assigned

Sep 4, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1336333194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260602",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750260602",
            "telephone_number": "214-726-5451",
            "fax_number": "469-362-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 COIT RD",
            "address_2": "1424",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254481",
            "telephone_number": "214-726-5451",
            "fax_number": "469-362-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRE",
        "first_name": "JEROLD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16114",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "18599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.