Individual provider Active NPI

Jeanne A Dubois, M.ED.,LPC

  • Mental Health Counselor
  • Odessa, TX
National Provider Identifier
1386713816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00310 Issued in TX
Practice address
6010 E Highway 191
Suite 120
Odessa, TX 79762-5070
Phone
(432) 366-8044
Fax
(432) 363-0188
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00310 TX Primary

Addresses

Primary practice location

6010 E Highway 191
Suite 120
Odessa, TX 79762-5070

Mailing address

6010 E Highway 191
Suite 120
Odessa, TX 79762-5070
Phone (432) 366-8044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
00310TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386713816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 E HIGHWAY 191",
            "address_2": "SUITE 120",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625070",
            "telephone_number": "432-366-8044",
            "fax_number": "432-363-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 E HIGHWAY 191",
            "address_2": "SUITE 120",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625070",
            "telephone_number": "432-366-8044",
            "fax_number": "432-363-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "JEANNE",
        "middle_name": "A",
        "credential": "M.ED.,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "00310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.