NPIMap

Organization Active NPI

Self and Associates

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1710269055
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
948 Issued in TX
Legal business name
SELF AND ASSOCIATES
Practice address
6130 Richmond Ave
Dallas, TX 75214
Phone
(214) 732-6121
Fax
(214) 827-4974
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Mr. James Hershell Self, LMFTNPI 1134292170
Title
Therapist
Phone
(214) 732-6121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 948 TX Primary

Addresses

Primary practice location

6130 Richmond Ave
Dallas, TX 75214

Mailing address

6130 Richmond Ave
Dallas, TX 75214
Phone (214) 732-6121

National Provider Directory

National Provider Directory
Tax ID family
Self and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1710269055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 RICHMOND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75214",
            "telephone_number": "214-732-6121",
            "fax_number": "214-827-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 RICHMOND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75214",
            "telephone_number": "214-732-6121",
            "fax_number": "214-827-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HERSHELL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "214-732-6121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "948",
            "primary": true
        }
    ],
    "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 Sep 13, 2011; 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.