Active NPI
Jessica Mary Stewart
- Mental Health Counselor
- Denton, TX
National Provider Identifier
1407605066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 87515
- Practice address
- 8608 Mild Creek LN
Denton, TX 76210-0867 - Phone
- (817) 655-2475
- NPI assigned
- May 16, 2024
- Last updated
- May 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 87515 | TX | Primary |
Addresses
Primary practice location
8608 Mild Creek LN
Denton, TX 76210-0867
Mailing address
8608 Mild Creek LN
Denton, TX 76210-0867
Phone (817) 655-2475
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87515 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1407605066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8608 MILD CREEK LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762100867",
"telephone_number": "817-655-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8608 MILD CREEK LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762100867",
"telephone_number": "817-655-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JESSICA",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "87515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.