Individual provider Active NPI

Jeannita Nicole Enobakhare, EDD, LPC ASSOCIATE

  • Professional Counselor
  • Grand Prairie, TX
National Provider Identifier
1588419782
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93644 Issued in TX
Practice address
3211 England Pkwy
Grand Prairie, TX 75054-6721
Phone
(469) 798-3434
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 93644 TX Primary

Addresses

Primary practice location

3211 England Pkwy
Grand Prairie, TX 75054-6721

Mailing address

3211 England Pkwy
Grand Prairie, TX 75054-6721
Phone (469) 798-3434

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

State licenses

LicenseStateTypeSpecialty
93644TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shero Management LLC Professional CurrentSince May 7, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1588419782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 ENGLAND PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546721",
            "telephone_number": "469-798-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 ENGLAND PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546721",
            "telephone_number": "469-798-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOBAKHARE",
        "first_name": "JEANNITA",
        "middle_name": "NICOLE",
        "credential": "EDD, LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.