Active NPI
John Mark Ford
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1447934583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92485
- Practice address
- 4601 50TH St Ste 200
Lubbock, TX 79414-3518 - Phone
- (806) 828-0065
- NPI assigned
- Jun 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 64017 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16666 | TX | |
| Professional Counselor | 101YP2500X | 92485 | TX | Primary |
Addresses
Primary practice location
4601 50TH St Ste 200
Lubbock, TX 79414-3518
Mailing address
PO Box 93242
Lubbock, TX 79493-3242
Phone (806) 329-8150
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
| License | State | Type | Specialty |
|---|---|---|---|
| 92485 | TX | MD | Professional Counselor |
| 64017 | TX | MD | Pharmacist |
| 16666 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1447934583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93242",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794933242",
"telephone_number": "806-329-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 50TH ST STE 200",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794143518",
"telephone_number": "806-828-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JOHN",
"middle_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "64017",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16666",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.