Greater Dallas Support Alliance

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREATER DALLAS SUPPORT ALLIANCE

Doing business as

Annie's Counseling

Practice address

2102 Dorsey Dr
Forney, TX 75126-0925

Phone

(469) 249-3585

Fax

(469) 249-3585

NPI assigned

Apr 22, 2020

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

GREATER DALLAS SUPPORT ALLIANCEAs reported in NPPES

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

Authorized official

Name

Jennifer Lee Boatright, LPCNPI 1043856180

Title

President

Phone

(469) 249-2585

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Annie's Counseling Doing business as

Electronic endpoints 2

Part of

Greater Dallas Support Alliance

Interoperability endpoints

• Direct secure messaging: dbqthsinsurancesupport@relayhealth.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lee Boatright, LPC

  • Professional Counselor
  • Forney, TX
  • NPI 1043856180
  NPD Authorized official
• Sara Kolokotsas, LMSW

  • Social Worker
  • Forney, TX
  • NPI 1396365722
  NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1720608540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261350",
            "telephone_number": "972-521-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 DORSEY DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751260925",
            "telephone_number": "469-249-3585",
            "fax_number": "469-249-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DALLAS SUPPORT ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER DALLAS SUPPORT ALLIANCE",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-249-2585",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410883901",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ftp.availity.com/",
            "affiliation": "N",
            "endpointDescription": "Availity",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Dorsey Dr",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751260925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DBQTHSINSURANCESUPPORT@RELAYHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Dorsey Dr",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751260925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Annie's Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Forney, TX
• Providers in Forney, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.