Individual provider Active NPI

Jessica M Ellison, LCSW

  • Clinical Social Worker
  • Burleson, TX
National Provider Identifier
1427818780
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111160 Issued in TX
Practice address
785 W Hidden Creek Pkwy # 2101D
Burleson, TX 76028-5874
Phone
(817) 580-5300
NPI assigned
Mar 21, 2024
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 111160 TX Primary

Addresses

Primary practice location

785 W Hidden Creek Pkwy # 2101D
Burleson, TX 76028-5874

Mailing address

785 W Hidden Creek Pkwy # 2101D
Burleson, TX 76028-5874
Phone (817) 580-5300

Other practice location 1

295 E Renfro St
Burleson, TX 76028-3950
Phone (817) 693-1399

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

LicenseStateTypeSpecialty
111160TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Cities Counseling Center, PLLC Clinical CurrentSince Mar 24, 2024 Accepting new patients
B C Counseling Center, PLLC Clinical PastSince Jan 19, 2025 Accepting new patients

Locations

805 FM 1187 E
Ste B
Crowley, TX 76036
Phone (817) 888-8131

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1427818780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 W HIDDEN CREEK PKWY # 2101D",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285874",
            "telephone_number": "817-580-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 W HIDDEN CREEK PKWY # 2101D",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285874",
            "telephone_number": "817-580-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 E Renfro St",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760283950",
            "country_code": "US",
            "telephone_number": "817-693-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.