Active NPI
Jason Patton, LPC-S
- Professional Counselor
- Dallas, TX
National Provider Identifier
1619110343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62503
- Practice address
- 5544 Richard Ave
Dallas, TX 75206-6716 - Phone
- (512) 496-7562
- NPI assigned
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62503 | TX | Primary |
Addresses
Primary practice location
5544 Richard Ave
Dallas, TX 75206-6716
Mailing address
PO Box 600843
Dallas, TX 75360-0843
Phone (512) 496-7562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62503 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1619110343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600843",
"city": "DALLAS",
"state": "TX",
"postal_code": "753600843",
"telephone_number": "512-496-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5544 RICHARD AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752066716",
"telephone_number": "512-496-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-10",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.