Individual provider Active NPI

Alice Gayle Jensen-Savoie

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1871087734
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10559 Issued in TX
Practice address
1301 Throckmorton St Apt 1904
Fort Worth, TX 76102-6318
Phone
(214) 793-1947
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10559 TX Primary

Addresses

Primary practice location

1301 Throckmorton St Apt 1904
Fort Worth, TX 76102-6318

Mailing address

1301 Throckmorton St Apt 1904
Fort Worth, TX 76102-6318

Other identifiers 1

IdentifierTypeStateIssuer
08906072OtherTXDRIVERS LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10559TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1871087734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 THROCKMORTON ST APT 1904",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 THROCKMORTON ST APT 1904",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026318",
            "telephone_number": "214-793-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN-SAVOIE",
        "first_name": "ALICE",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "08906072",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.