Active NPI
Jacklyn Ann McNeil, M.DIV., M.A., LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1578830071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5500
- Practice address
- 4300 Alicia Dr
Amarillo, TX 79109-5052 - Phone
- (806) 670-9459
- NPI assigned
- Nov 28, 2011
- Last updated
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63099 | TX | |
| Professional Counselor | 101YP2500X | 5500 | OK | Primary |
Addresses
Primary practice location
4300 Alicia Dr
Amarillo, TX 79109-5052
Mailing address
6125 SW 112TH St
Lawton, OK 73505-7652
Phone (806) 670-9459
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63099 | TX | MD | Social Worker |
| 5500 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1578830071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 SW 112TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735057652",
"telephone_number": "806-670-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 ALICIA DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095052",
"telephone_number": "806-670-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "JACKLYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.DIV., M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63099",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.