Active NPI
Hip Hop Glamm
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dallas, TX
National Provider Identifier
1699501924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HIP HOP GLAMM
- Practice address
- 3560 W Camp Wisdom Rd Ste 200
Dallas, TX 75237-2513 - Phone
- (214) 888-4401
- Fax
- (469) 574-5550
- NPI assigned
- Sep 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorraine Kingcannon
- Title
- Ceo
- Phone
- (214) 888-4401
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | |||
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | |||
| Poetry Therapist | 102X00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Student Health Clinic/Center | 261QS1000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
3560 W Camp Wisdom Rd Ste 200
Dallas, TX 75237-2513
Mailing address
10440 N Central Expy Ste 800
Dallas, TX 75231-2264
Phone (214) 888-4401
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Private Vehicle
- Dallas, TX
- NPI 1841064342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1699501924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10440 N CENTRAL EXPY STE 800",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312264",
"telephone_number": "214-888-4401",
"fax_number": "469-574-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 W CAMP WISDOM RD STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372513",
"telephone_number": "214-888-4401",
"fax_number": "469-574-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIP HOP GLAMM",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "KINGCANNON",
"authorized_official_first_name": "LORRAINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-888-4401"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Drama Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.