Individual provider Active NPI

Jarryn Robinson-Ellis

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1710320882
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202736 Issued in TX
Practice address
8350 N Central Expy Ste 1900
Dallas, TX 75206-1604
Phone
(512) 956-6463
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 202736 TX Primary

Addresses

Primary practice location

8350 N Central Expy Ste 1900
Dallas, TX 75206-1604

Mailing address

8350 N Central Expy Ste 1900
Dallas, TX 75206-1604

Other practice location 1

3430 SW 320th St Ste D2
Federal Way, WA 98023-2292
Phone (253) 289-6099

Other practice location 2

583 W Gaines St
Monticello, AR 71655-4637
Phone (870) 367-2143

Other practice location 3

6803 Waterfall Pass
Converse, TX 78109-3465
Phone (318) 331-2959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Lakes Counseling, PLLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Alternative Opportunities Past Accepting new patients
Preferred Family Healthcare, Inc. Past Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

3430 SW 320th St
Ste D2
Federal Way, WA 98023
Phone (253) 289-6099

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1710320882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 N CENTRAL EXPY STE 1900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 N CENTRAL EXPY STE 1900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061604",
            "telephone_number": "512-956-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 SW 320th St Ste D2",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980232292",
            "country_code": "US",
            "telephone_number": "253-289-6099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "583 W Gaines St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716554637",
            "country_code": "US",
            "telephone_number": "870-367-2143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6803 Waterfall Pass",
            "address_purpose": "LOCATION",
            "city": "Converse",
            "state": "TX",
            "postal_code": "781093465",
            "country_code": "US",
            "telephone_number": "318-331-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON-ELLIS",
        "first_name": "JARRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2023-07-17",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.