Individual provider Active NPI

James Edward Pinkston II, DSW, LCSW

  • Clinical Social Worker
  • Euless, TX
National Provider Identifier
1649671280
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69525 Issued in TX
Practice address
200 Westpark Way
Euless, TX 76040-3963
Phone
(817) 488-8998
NPI assigned
Sep 15, 2014
Last updated
May 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M8422 MS
Clinical Social Worker 1041C0700X C8422 MS
Clinical Social Worker 1041C0700X 69525 TX Primary

Addresses

Primary practice location

200 Westpark Way
Euless, TX 76040-3963

Mailing address

201 E Windsor Dr
Denton, TX 76209-8391
Phone (228) 669-6278

Other practice location 1

1600 broad ave
gulfport, MS 39501-3603
Phone (228) 863-1132

Other practice location 2

3801 William D Tate Ave Ste 800A
Grapevine, TX 76051-8755
Phone (817) 488-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69525TXMDProfessional Counselor
M8422MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of North Texas, Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1649671280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E WINDSOR DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762098391",
            "telephone_number": "228-669-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403963",
            "telephone_number": "817-488-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 broad ave",
            "address_purpose": "LOCATION",
            "city": "gulfport",
            "state": "MS",
            "postal_code": "395013603",
            "country_code": "US",
            "telephone_number": "228-863-1132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 William D Tate Ave Ste 800A",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518755",
            "country_code": "US",
            "telephone_number": "817-488-8998",
            "fax_number": "855-295-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "M8422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.