Jacqueline Ann Mahoney

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22693 Issued in TX

Practice address

5018 Branch Hollow Dr
Garland, TX 75043-2631

Phone

(214) 718-4430

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Mental Wellness PLLCGroup PAC ID 5991095135, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Total Mental Wellness, PLLC

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1942689559
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1780187609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 BRANCH HOLLOW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432631",
            "telephone_number": "214-718-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 BRANCH HOLLOW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432631",
            "telephone_number": "214-718-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelechi Maduka
• Magecare Health Services, Inc
• Magnolia Dentistry, PLLC
• Sherry Selle Magnus, AU.D.
• Duyen June Magnuson, FNP-BC
• Ke Hoa Mai, D.P.M.
• Elizabeth Maina, LVN
• Stephen Mwangi Maina, RN
• Hashim Abdul Majeed, M.D.
• Sharmeen Makda, LPC-ASSOCIATE

• Clinical Social Worker in Garland, TX
• Providers in Garland, 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 Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.