Active NPI
Jared Fuson, MA, LPCI
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1730442971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 68412
- Practice address
- 5115 McKinney Ave
Suite B
Dallas, TX 75205-3396 - Phone
- (214) 616-4729
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68412 | TX | Primary |
Addresses
Primary practice location
5115 McKinney Ave
Suite B
Dallas, TX 75205-3396
Mailing address
5115 McKinney Ave
Suite B
Dallas, TX 75205-3396
Phone (214) 616-4729
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68412 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1730442971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 MCKINNEY AVE",
"address_2": "SUITE B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053396",
"telephone_number": "214-616-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 MCKINNEY AVE",
"address_2": "SUITE B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053396",
"telephone_number": "214-616-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSON",
"first_name": "JARED",
"credential": "MA, LPCI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "68412",
"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 Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.