Jacqueline F Chavez, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77462 Issued in TX

Practice address

7502 Fair Oaks Ave
Dallas, TX 75231-5404

Phone

(972) 502-4147

Fax

(214) 932-7585

NPI assigned

May 22, 2019

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Health System of Texas

  dba Children's Medical Center of Dallas

  • Children's Hospital
  • Dallas, TX
  • NPI 1194743013
  Medicare reassignment NPD
• Children's Health System of Texas

  dba First Pharmacy Pavilion

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1881830602
  NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1851958060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 E MOCKINGBIRD LN STE 975",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060959",
            "telephone_number": "469-801-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 FAIR OAKS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315404",
            "telephone_number": "972-502-4147",
            "fax_number": "214-932-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5307 E Mockingbird Ln Ste 975",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752060959",
            "country_code": "US",
            "telephone_number": "469-801-9055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JACQUELINE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Chavez-Carmona, MD
• Adelyn Denae Chavez, RN
• Barbara M Chavez, D.O.
• Christopher Wade Chavez, PHARMD
• Diana Choy Chavez, FNP-C
• Jessica Chavez, LMT
• Julia Chavez
• Marissa Danielle Chavez, DOULA
• Renee M. Chavez, WHCNP
• Steve Chavez

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.