Individual provider Active NPI

Robyn Renea Jardine, LPC, LMFT-S, NCC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1861810798
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71800 Issued in TX
Practice address
2001 Ross Ave Ste 700-111
Dallas, TX 75201-2911
Phone
(469) 906-6093
NPI assigned
Mar 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202238 TX
Professional Counselor 101YP2500X 71800 TX Primary

Addresses

Primary practice location

2001 Ross Ave Ste 700-111
Dallas, TX 75201-2911

Mailing address

2001 Ross Ave Ste 700-111
Dallas, TX 75201-2911
Phone (469) 906-6093

Other practice location 1

737 LaMar Ave
Paris, TX 75460-4479
Phone (903) 785-0400

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

LicenseStateTypeSpecialty
202238TXMDMarriage & Family Therapist
71800TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions Counseling and Family Therapy PLLC Professional CurrentSince Mar 22, 2020 Accepting new patients

Locations

2001 Ross Ave
Ste 700111
Dallas, TX 75201
Phone (469) 906-6093

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1861810798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ROSS AVE STE 700-111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012911",
            "telephone_number": "469-906-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ROSS AVE STE 700-111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012911",
            "telephone_number": "469-906-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754604479",
            "country_code": "US",
            "telephone_number": "903-785-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "ROBYN",
        "middle_name": "RENEA",
        "name_prefix": "Dr.",
        "credential": "LPC, LMFT-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202238",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2020; 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.