Jackie Lynn Halstead, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4835 Issued in TX

Practice address

104 Pine St
Suite 610
Abilene, TX 79601-5945

Phone

(325) 669-9760

NPI assigned

Jun 13, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Halstead and Associates

  • Professional Counselor
  • Abilene, TX
  • NPI 1326116682
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780888669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PINE ST",
            "address_2": "SUITE 610",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015945",
            "telephone_number": "325-669-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PINE ST",
            "address_2": "SUITE 610",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015945",
            "telephone_number": "325-669-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leanne Hall, OTR/L
• Ashley Goodnight Hall, M.D.
• Samuel Todd Hall, FNP-C
• Savanna Hall
• Halstead and Associates
• Krista Dawn Hamilton, FNP-C
• Rae Ann Hamilton, MD
• Steven Hamlett, AU.D.
• Clara Isabella Jaelyn Hammond
• Stacy Denise Hammond, R.N. FNP - C

• All providers in Abilene, TX
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.