Individual provider Active NPI

Jami Mayorga Dickson, NURSE PRACTIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1629386644
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP119548 Issued in TX
Practice address
4324 Mapleshade LN Ste 158
Plano, TX 75093-0050
Phone
(972) 712-0591
Fax
(972) 421-1527
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP119548 TX Primary

Addresses

Primary practice location

4324 Mapleshade LN Ste 158
Plano, TX 75093-0050

Mailing address

4072 Briar Tree LN
Frisco, TX 75034-3868
Phone (972) 712-0591

Other practice location 1

6401 Eldorado Pkwy Ste 207
McKinney, TX 75070-6197
Phone (972) 712-0591

Other identifiers 1

IdentifierTypeStateIssuer
642611OtherTXTEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000623 TX Practitioner - Nurse Practitioner 9931386349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Mental Wellness PLLCGroup PAC ID 5991095135, 3 clinicians

Practice addresses (Care Compare)

4324 Mapleshade LN
Suite 158
Plano, TX 75093-0050
Phone (469) 719-4919

6401 Eldorado Pkwy
Suite 207
McKinney, TX 75070-6197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Mental Wellness, PLLC Psychiatric/Mental Health CurrentSince Feb 14, 2016 Accepting new patients

Locations

2411 Virginia Pkwy
Ste 7
McKinney, TX 75071
Phone (972) 712-0591

6401 Eldorado Pkwy
Ste 207
McKinney, TX 75070
Phone (903) 274-7553

4324 Mapleshade Ln
Ste 158
Plano, TX 75093
Phone (469) 719-4919

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1629386644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 BRIAR TREE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343868",
            "telephone_number": "972-712-0591",
            "fax_number": "972-421-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN STE 158",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "972-712-0591",
            "fax_number": "972-421-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Eldorado Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750706197",
            "country_code": "US",
            "telephone_number": "972-712-0591",
            "fax_number": "972-421-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "JAMI",
        "middle_name": "MAYORGA",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP119548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "642611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.