Jesse Amanda Dellis, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

70748 Issued in TX

Practice address

1906 Peach St
Goldthwaite, TX 76844-2452

Phone

(325) 276-0506

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1356722912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 PEACH ST",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768442452",
            "telephone_number": "325-276-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 PEACH ST",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768442452",
            "telephone_number": "325-276-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLIS",
        "first_name": "JESSE",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70748",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Mills
• Debbie Crawford, DO
• Jenny Rebecca Dabney, MPT
• Dallas Central Physical Therapy
• Dallas Central Physical Therapy Inc.
• Crystal Dowell, FNP
• Goldthwaite I Enterprises, LLC
• Goldthwaite Isd
• Goldthwaite Nursing Operations, LLC
• Goldthwaite Senior Health Center, Inc

• Counselor in Goldthwaite, TX
• Providers in Goldthwaite, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.