Organization Active NPI

Ajm Clinical Therapy & Consulting, PLLC

  • Clinical Social Worker
  • Desoto, TX
National Provider Identifier
1568096857
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AJM CLINICAL THERAPY & CONSULTING, PLLC
Practice address
1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390
Phone
(817) 677-8382
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Ashley Jones-McCracken, LCSW
Title
Clinical Social Worker
Phone
(817) 677-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390

Mailing address

2750 Clear Lake Dr
Midlothian, TX 76065-6251
Phone (469) 765-2014

National Provider Directory

National Provider Directory

Locations

1666 N Hampton Rd
Ste 103
Desoto, TX 75115
Phone (469) 587-6330

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1568096857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLEAR LAKE DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656251",
            "telephone_number": "469-765-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD STE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "817-677-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJM CLINICAL THERAPY & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "JONES-MCCRACKEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "817-677-8382",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.