Jacob Atchison
Individual provider Active NPI Mental Health Counselor · Dickinson, TX
NPI 1700635448 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1700635448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 509 Hunters LN
Dickinson, TX 77539-4014 - Phone
- (817) 948-9154
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
509 Hunters LN
Dickinson, TX 77539-4014
Mailing address
509 Hunters LN
Dickinson, TX 77539-4014
Phone (817) 948-9154
Other providers in Dickinson, TX
- Arms Reach Medical Transportation
- Melissa Mondragon Arvidson
- Susan Violet Ash
- Asp of Dickinson, LLP Dba University General Surgicare
- Assisting Intelligence LLC
- Lee Attema
- Yolanda Awung
- Greta Ayers
- Syed S Azhar
- Ross Christopher Baird
All providers in Dickinson, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.