Individual provider Active NPI

Joan O. Ford, L.P.C.

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1598877797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14051 Issued in TX
Practice address
1121 E Southeast Loop 323
Ste. 204
Tyler, TX 75701-9660
Phone
(903) 581-0933
Fax
(903) 581-3977
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 14051 TX Primary

Addresses

Primary practice location

1121 E Southeast Loop 323
Ste. 204
Tyler, TX 75701-9660

Mailing address

1121 E Southeast Loop 323
Ste. 204
Tyler, TX 75701-9660
Phone (903) 581-0933

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
14051TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Counseling & Assessment Center Professional PastSince Sep 22, 1999 Accepting new patients
Ron L. Roberts, M.S., P.C. Professional PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598877797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E SOUTHEAST LOOP 323",
            "address_2": "STE. 204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019660",
            "telephone_number": "903-581-0933",
            "fax_number": "903-581-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E SOUTHEAST LOOP 323",
            "address_2": "STE. 204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019660",
            "telephone_number": "903-581-0933",
            "fax_number": "903-581-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JOAN",
        "middle_name": "O.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.