Individual provider Active NPI

Jodi McKee, ATR-BC, LPC

  • Mental Health Counselor
  • Sherman, TX
National Provider Identifier
1730264649
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20329 Issued in TX
Practice address
402 W Lamar St
Suite 102
Sherman, TX 75090-5885
Phone
(903) 868-2961
Fax
(903) 892-2265
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20329 TX Primary

Addresses

Primary practice location

402 W Lamar St
Suite 102
Sherman, TX 75090-5885

Mailing address

402 W Lamar St
Suite 102
Sherman, TX 75090-5885
Phone (903) 868-2961

Other identifiers 1

IdentifierTypeStateIssuer
180161501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20329TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730264649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W LAMAR ST",
            "address_2": "SUITE 102",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905885",
            "telephone_number": "903-868-2961",
            "fax_number": "903-892-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LAMAR ST",
            "address_2": "SUITE 102",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905885",
            "telephone_number": "903-868-2961",
            "fax_number": "903-892-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180161501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.