Individual provider Active NPI

Jeffrey Adams, PH.D.

  • Counseling Psychologist
  • Fort Worth, TX
National Provider Identifier
1780012427
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
36655 Issued in TX
Practice address
5601 Bridge St
# 500
Fort Worth, TX 76112-2384
Phone
(817) 457-9850
NPI assigned
Oct 16, 2013
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36655 TX Primary
Clinical Neuropsychologist 103G00000X 36655 TX

Addresses

Primary practice location

5601 Bridge St
# 500
Fort Worth, TX 76112-2384

Mailing address

5375 Coit Rd Ste 130
Frisco, TX 75035-4914
Phone (214) 619-1910

Other practice location 1

2304 Highway 121
Bedford, TX 76021-5985
Phone (713) 789-7560

Other practice location 2

3020 W Wheatland Rd
Dallas, TX 75237-3537
Phone (713) 789-7560

Other practice location 3

2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 789-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170417002094 TX Practitioner - Clinical Psychologist 6901185966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CPF SJN Outpatient LLCGroup PAC ID 0749637163, 24 clinicians

Practice addresses (Care Compare)

2450 Fondren Rd
Suite 312
Houston, TX 77063-2323
Phone (713) 789-7560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36655TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Source 1 Medical Inc CurrentSince Nov 30, 2022 Accepting new patients
CPF SJN Outpatient, LLC Clinical Neuropsychologist CurrentSince Jun 14, 2025 Accepting new patients
JTJ Marketing Past Accepting new patients

Locations

5601 Bridge St
Ste 500
Ft Worth, TX 76112
Phone (817) 457-9850

2450 Fondren Rd
Ste 312
Houston, TX 77063
Phone (713) 914-0277

8080 Independence Pkwy
Ste 110
Plano, TX 75025
Phone (469) 658-0100

8080 Independence Pkwy
Ste 110A
Plano, TX 75025
Phone (469) 658-0100

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1780012427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 COIT RD STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354914",
            "telephone_number": "214-619-1910",
            "fax_number": "214-619-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST",
            "address_2": "# 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122384",
            "telephone_number": "817-457-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 Highway 121",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215985",
            "country_code": "US",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 W Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373537",
            "country_code": "US",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Fondren Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770632323",
            "country_code": "US",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36655",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.