Active NPI
Imadulation International, LP
- Professional Counselor
- Dallas, TX
National Provider Identifier
1780914556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14751
- Legal business name
- IMADULATION INTERNATIONAL, LP
- Practice address
- 17304 Preston Rd
#800
Dallas, TX 75252-5618 - Phone
- (972) 880-0102
- NPI assigned
- Dec 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ellen Simon, LPC
- Title
- President/Founder
- Phone
- (972) 880-0102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14751 | TX | Primary |
Addresses
Primary practice location
17304 Preston Rd
#800
Dallas, TX 75252-5618
Mailing address
7201 Cutter Mill Dr
Dallas, TX 75248-1609
Phone (972) 880-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3705 LC | Other | TX | BCBS |
Other names 1
- The Stress & Happiness Cntr of Dallas
National Provider Directory
National Provider Directory- Tax ID family
- Imadulation International LP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Richardson, TX
- NPI 1750503298
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Dallas, TX
- NPI 1346461951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310688000000",
"number": "1780914556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 CUTTER MILL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481609",
"telephone_number": "972-880-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17304 PRESTON RD",
"address_2": "#800",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525618",
"telephone_number": "972-880-0102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMADULATION INTERNATIONAL, LP",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-30",
"last_updated": "2011-07-15",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "PRESIDENT/FOUNDER",
"authorized_official_telephone_number": "972-880-0102",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3705 LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Stress & Happiness Cntr of Dallas",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.