Joe M Jeffers

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

21733 Issued in TX

Legal business name

JOE M JEFFERS

Practice address

3471 Knickerbocker Rd
Suite 508
San Angelo, TX 76904-8823

Phone

(325) 942-7531

Fax

(325) 942-7532

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joe M Jeffers, EDDNPI 1245236421

Title

Owner

Phone

(325) 942-7531

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• West Texas Psychological Associates Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Mac Jeffers, ED.D.

  • Counseling Psychologist
  • San Angelo, TX
  • NPI 1245236421
  NPD (past) Authorized official
• Debra D Latham, LCSW

  • Clinical Social Worker
  • San Angelo, TX
  • NPI 1528064391
  NPD (past)
• Thomas L. Slough, LPA

  • Mental Health Counselor
  • San Angelo, TX
  • NPI 1639178056
  NPD (past)
• Louise Anne Zachidniak, LMSW-ACP

  • Clinical Social Worker
  • San Angelo, TX
  • NPI 1134128614
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1689710709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 KNICKERBOCKER RD",
            "address_2": "SUITE 508",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048823",
            "telephone_number": "325-942-7531",
            "fax_number": "325-942-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 KNICKERBOCKER RD",
            "address_2": "SUITE 508",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048823",
            "telephone_number": "325-942-7531",
            "fax_number": "325-942-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE M JEFFERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-942-7531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "12487",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13927",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "21733",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "06774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084966301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Jibben, LCDC-I
• Jim Dandy Medical Inc
• Jim W. Collier, Dcpa
• Lydia J Jimenez, MS
• Havalo Kaye Jo Hanson, P.T.
• John D. Hunt, M.D.
• John M Henderson MD Fapa, PLLC
• Amanda C. John, APRN-FNP
• Glenda Johnson, LVN
• Karren Johnson, LCSW

• Counseling Psychologist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.