Organization Active NPI

Mobile Counseling, PLLC

  • Counselor
  • Dallas, TX
National Provider Identifier
1417340753
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
62980 Issued in TX
Legal business name
MOBILE COUNSELING, PLLC
Practice address
1910 Pacific Ave
Suite 8014
Dallas, TX 75201-4529
Phone
(214) 542-5642
Fax
(888) 972-6925
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Miss Carolyn (Janie) Stubblefield, MA, LPC-S
Title
Owner
Phone
(214) 542-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 62980 TX Primary

Addresses

Primary practice location

1910 Pacific Ave
Suite 8014
Dallas, TX 75201-4529

Mailing address

1910 Pacific Ave
Suite 8014
Dallas, TX 75201-4529
Phone (214) 542-5642

National Provider Directory

National Provider Directory

Locations

1910 Pacific Ave
Ste 8014
Dallas, TX 75201
Phone (214) 542-5642

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1417340753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE",
            "address_2": "SUITE 8014",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014529",
            "telephone_number": "214-542-5642",
            "fax_number": "888-972-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE",
            "address_2": "SUITE 8014",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014529",
            "telephone_number": "214-542-5642",
            "fax_number": "888-972-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "(JANIE)",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-542-5642",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "62980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.