Pelican Bayou Counseling Agency-Texas

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PELICAN BAYOU COUNSELING AGENCY-TEXAS

Practice address

1111 W Mockingbird LN Ste 7-2
Dallas, TX 75247-5028

Phone

(318) 861-8938

NPI assigned

Dec 8, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

PELICAN BAYOU COUNSELING AGENCY INC.As reported in NPPES

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

Authorized official

Name

Mrs. Brittney Jewitt

Title

Ceo

Phone

(318) 470-1632

Specialties & licenses 1

Addresses

Part of

Pelican Bayou Counseling Agency Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittney Cummings Jewitt

  • Professional Counselor
  • Shreveport, LA
  • NPI 1396467544
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1578169306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183815",
            "telephone_number": "318-861-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN STE 7-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475028",
            "telephone_number": "318-861-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN BAYOU COUNSELING AGENCY-TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PELICAN BAYOU COUNSELING AGENCY INC.",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "JEWITT",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-470-1632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valery Peinado Reyes, PA-C
• Regina Gail Peirce, L.C.S.W.
• Bunnany C Pekar, RN
• Ahuva Pekier, LCSW
• Peleza Home Healthcare LLC
• Pelican Hospice LLC
• Jessica Christine Pelini, FNP
• Pella Medical Supply Inc
• Shelby L Pelleran, CAA
• Shayla Pellerin

• Community/Behavioral Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.