L J Psychological Services, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

63935 Issued in TX

Legal business name

L J PSYCHOLOGICAL SERVICES, PLLC

Practice address

515 N Cedar Ridge Dr Ste 7E
Duncanville, TX 75116-3179

Phone

(469) 600-5056

Fax

(972) 863-3382

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Johnson, LPC-S

Title

Licensed Professional Counselor-S

Phone

(469) 600-5056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1508373796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TRACY AVE",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373550",
            "telephone_number": "469-600-5056",
            "fax_number": "972-863-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N CEDAR RIDGE DR STE 7E",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163179",
            "telephone_number": "469-600-5056",
            "fax_number": "972-863-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L J PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR-S",
        "authorized_official_telephone_number": "469-600-5056",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "63935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.