Organization Active NPI

My Friend Jack'S House

  • Addiction (Substance Use Disorder) Counselor
  • McKinney, TX
National Provider Identifier
1356103105
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MY FRIEND JACK'S HOUSE
Practice address
2000 N McDonald St Ste 400
McKinney, TX 75071-3036
Phone
(214) 585-1414
NPI assigned
Jan 26, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Bonnie Donaldson, LCDC, CFLENPI 1801665708
Title
Owner
Phone
(214) 585-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20260204001905 TX Part B Supplier - Clinic/Group Practice 1052890647 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

2000 N McDonald St
Ste 400
McKinney, TX 75071
Phone (214) 585-1414

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

NPPES NPI Registry

Primary practice location

2000 N McDonald St Ste 400
McKinney, TX 75071-3036

Mailing address

PO Box 1146
Van Alstyne, TX 75495-1146
Phone (214) 585-1414

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2026.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1356103105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754951146",
            "telephone_number": "214-585-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N MCDONALD ST STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713036",
            "telephone_number": "214-585-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FRIEND JACK'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-585-1414",
        "authorized_official_credential": "LCDC, CFLE"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.