Jeannette Dianne Lafontaine-Mack, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15077 Issued in TX

Practice address

402 W Wheatland Rd
Suite 160
Duncanville, TX 75116-4600

Phone

(214) 226-9187

Fax

(972) 296-5313

NPI assigned

Jul 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217030400000",
    "number": "1437314697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LANSDALE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164411",
            "telephone_number": "214-226-9187",
            "fax_number": "972-296-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD",
            "address_2": "SUITE 160",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164600",
            "telephone_number": "214-226-9187",
            "fax_number": "972-296-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONTAINE-MACK",
        "first_name": "JEANNETTE",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-26",
        "last_updated": "2008-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2008; 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.