Patience Jackson, RELAXATION THERAPIST

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

600 W 6TH St FL 4
Fort Worth, TX 76102-3684

Phone

(805) 221-0208

Fax

(469) 754-0469

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Patience Jackson Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1679175921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 6TH ST FL 4",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023684",
            "telephone_number": "805-221-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 6TH ST FL 4",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023684",
            "telephone_number": "805-221-0208",
            "fax_number": "469-754-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PATIENCE",
        "credential": "RELAXATION THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Abidinghealth.life",
            "affiliation": "N",
            "endpointDescription": "Intake",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 W 6th St Fl 4",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761023684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATIENCE",
            "last_name": "JACKSON",
            "credential": "RELAXATION THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Roy Jackson, DDS
• Nakisha Robertson Jackson, PT, DPT
• Nancy N Jackson
• Natalie Jackson, MD
• Natashia Jackson, RN
• Raynelle Angela Jackson
• Robert Jackson Sr.
• Ryan Jackson, MED, RD, LD, CSCS
• Shachia Rhea Jackson
• Shana Justine Jackson, LPC-ASSOCIATE

• Music Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Music Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.