Organization Active NPI

Dallas Sigma Counseling Services, Inc.

  • Professional Counselor
  • Carrollton, TX
National Provider Identifier
1790090025
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18052 Issued in TX
Legal business name
DALLAS SIGMA COUNSELING SERVICES, INC.
Practice address
1902 Country Club Dr Ste 120
Carrollton, TX 75006-5824
Phone
(972) 820-6299
Fax
(972) 417-7000
NPI assigned
Aug 11, 2010
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mr. Pyeongsoo Jung, LPCNPI 1982612560
Title
Ceo
Phone
(214) 358-7533

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18052 TX Primary
Psychologist 103T00000X 32519 TX

Addresses

Primary practice location

1902 Country Club Dr Ste 120
Carrollton, TX 75006-5824

Mailing address

1902 Country Club Dr Ste 120
Carrollton, TX 75006-5824
Phone (972) 820-6299

Other identifiers 1

IdentifierTypeStateIssuer
155596302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121231000014 TX Part B Supplier - Clinic/Group Practice 9537312459 Receives reassigned benefits from 2 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

1902 Country Club Dr
Ste 120
Carrollton, TX 75006
Phone (972) 820-6299

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1790090025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 COUNTRY CLUB DR STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065824",
            "telephone_number": "972-820-6299",
            "fax_number": "972-417-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 COUNTRY CLUB DR STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065824",
            "telephone_number": "972-820-6299",
            "fax_number": "972-417-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS SIGMA COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "PYEONGSOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-358-7533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18052",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155596302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.