NPIMap

Organization Active NPI

Dragonfly Counseling LLC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1588028831
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
72131 Issued in TX
Legal business name
DRAGONFLY COUNSELING LLC
Practice address
9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1527
Phone
(817) 707-4386
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Jacqueline Jayde Young
Title
Manager
Phone
(817) 707-4386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 72131 TX Primary

Addresses

Primary practice location

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1527

Mailing address

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1527
Phone (817) 707-4386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1588028831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771527",
            "telephone_number": "817-707-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771527",
            "telephone_number": "817-707-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "JAYDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-707-4386"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.