Individual provider Active NPI

Jamaica Reyes-Araujo, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1407067382
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38987 Issued in TX
Practice address
16990 Dallas Pkwy
255
Dallas, TX 75248-1926
Phone
(469) 718-9765
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 38987 TX Primary

Addresses

Primary practice location

16990 Dallas Pkwy
255
Dallas, TX 75248-1926

Mailing address

3114 Alicia Cir
Dallas, TX 75287-5983
Phone (281) 253-7853

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080226000391 TX Practitioner - Clinical Social Worker 6002990322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karen Suzanne HalesGroup PAC ID 9931585619, 8 clinicians

Practice addresses (Care Compare)

1575 Heritage Dr
McKinney, TX 75069-3288
Phone (972) 542-8144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38987TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Suzanne Hales CurrentSince Sep 21, 2022 Accepting new patients
Assurasource LTD Clinical CurrentSince May 20, 2019 Accepting new patients

Locations

100 Allentown Pkwy
Ste 206
Allen, TX 75002

400 N Allen Dr
Ste 204
Allen, TX 75013

1575 Heritage Dr
Ste 200
McKinney, TX 75069
Phone (469) 307-5810

1575 Heritage Dr
McKinney, TX 75069
Phone (972) 542-8144

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1407067382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 ALICIA CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875983",
            "telephone_number": "281-253-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16990 DALLAS PKWY",
            "address_2": "255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481926",
            "telephone_number": "469-718-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-ARAUJO",
        "first_name": "JAMAICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.