Active NPI
Natalie Lynn Dejarnette, LPC, NCC
- Professional Counselor
- Nolanville, TX
National Provider Identifier
1861044646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78498
- Practice address
- 106 Cedar Ridge Dr
Nolanville, TX 76559-4611 - Phone
- (405) 361-0885
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78498 | TX | Primary |
Addresses
Primary practice location
106 Cedar Ridge Dr
Nolanville, TX 76559-4611
Mailing address
106 Cedar Ridge Dr
Nolanville, TX 76559-4611
Phone (405) 361-0885
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Home | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78498 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1861044646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CEDAR RIDGE DR",
"city": "NOLANVILLE",
"state": "TX",
"postal_code": "765594611",
"telephone_number": "405-361-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CEDAR RIDGE DR",
"city": "NOLANVILLE",
"state": "TX",
"postal_code": "765594611",
"telephone_number": "405-361-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJARNETTE",
"first_name": "NATALIE",
"middle_name": "LYNN",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78498",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Home",
"affiliation": "N",
"endpointDescription": "Home",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "106 Cedar Ridge Dr",
"city": "Nolanville",
"state": "TX",
"country_code": "US",
"postal_code": "765594611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nolanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.