Jason Lamont Brister, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17200 Issued in TX

Practice address

5201 McCart Ave Ste H
Fort Worth, TX 76115-3700

Phone

(817) 207-8700

NPI assigned

Nov 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medmark Treatment Centers of Texas, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1346671013
  NPD (past)
• Medmark Treatment Centers of Texas, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1770781106
  NPD (past)

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1427873843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 TURNBERRY DR APT 222",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062324",
            "telephone_number": "682-284-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 MCCART AVE STE H",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153700",
            "telephone_number": "817-207-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTER",
        "first_name": "JASON",
        "middle_name": "LAMONT",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "17200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Brinkley
• Claudia Briones
• John G Briscoe, MD
• Isaac Briseno-Diaz
• Alejandra Ochoa Briseno, LCSW
• Katriana Fields Brister, MS, GC
• Boisey J Bristo Sr., LPC
• Nancy Jane Bristow, RN, BSN, CDE
• Brit D Phillips DDS PA
• Isabel De Rosas Britain, DDS

• Addiction (Substance Use Disorder) Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.