Individual provider Active NPI

Joanne Holdefer Neal

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1417529173
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85953 Issued in TX
Practice address
5709 Brookneal CT
Arlington, TX 76018-5338
Phone
(515) 360-5442
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 85953 TX Primary

Addresses

Primary practice location

5709 Brookneal CT
Arlington, TX 76018-5338

Mailing address

5709 Brookneal CT
Arlington, TX 76018-5338
Phone (515) 360-5442

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jkholdefer@gmail.com Direct

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
I20250203003092 TX Practitioner - Mental Health Counselor 0345770558 Practice locations: Arlington, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3901 W Green Oaks Blvd
Suite D
Arlington, TX 76016-2789
Phone (469) 616-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1417529173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 BROOKNEAL CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185338",
            "telephone_number": "515-360-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 BROOKNEAL CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185338",
            "telephone_number": "515-360-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JOANNE",
        "middle_name": "HOLDEFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jkholdefer@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5709 Brookneal Ct",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760185338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.