Individual provider Active NPI

Jordan Hamilton Robertson, M.A, L.M.F.T.-A.

  • Marriage & Family Therapist
  • San Marcos, TX
National Provider Identifier
1467790659
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201935 Issued in TX
Practice address
801 Hazelton St
Apt. B
San Marcos, TX 78666-3189
Phone
(512) 667-7218
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201935 TX Primary

Addresses

Primary practice location

801 Hazelton St
Apt. B
San Marcos, TX 78666-3189

Mailing address

302 W Hopkins St
4B
San Marcos, TX 78666-4471
Phone (512) 667-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1467790659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W HOPKINS ST",
            "address_2": "4B",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664471",
            "telephone_number": "512-667-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HAZELTON ST",
            "address_2": "APT. B",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663189",
            "telephone_number": "512-667-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON ROBERTSON",
        "first_name": "JORDAN",
        "credential": "M.A, L.M.F.T.-A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.