Active NPI
Jamilyn Marie Mack, MS, LMFT-A
- Marriage & Family Therapist
- The Woodlands, TX
National Provider Identifier
1386982627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201813
- Practice address
- 2203 Timberloch PL
Suite 100
The Woodlands, TX 77380-1150 - Phone
- (832) 768-0771
- NPI assigned
- Jan 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201813 | TX | Primary |
Addresses
Primary practice location
2203 Timberloch PL
Suite 100
The Woodlands, TX 77380-1150
Mailing address
29211 Legends Green Dr
Spring, TX 77386-3583
Phone (832) 768-0771
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201813 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1386982627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29211 LEGENDS GREEN DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773863583",
"telephone_number": "832-768-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 TIMBERLOCH PL",
"address_2": "SUITE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801150",
"telephone_number": "832-768-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "JAMILYN",
"middle_name": "MARIE",
"credential": "MS, LMFT-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.