Active NPI
My Friend Jack'S House
- Addiction (Substance Use Disorder) Counselor
- McKinney, TX
National Provider Identifier
1356103105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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, CFLE
- 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.
-
- Addiction (Substance Use Disorder) Counselor
- Van Alstyne, TX
- NPI 1801665708
Addiction (Substance Use Disorder), TX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260204001905 | TX | Part B Supplier - Clinic/Group Practice | 1052890647 |
Receives reassigned benefits from 1 practitioner Practice locations: McKinney, TX |
National Provider Directory
National Provider DirectoryLocations
2000 N McDonald St
Ste 400
McKinney, TX 75071
Phone (214) 585-1414
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
NPPES NPI RegistryPrimary 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.