Active NPI
Jackie Todd, NCC, LPC, CEAP
- Mental Health Counselor
- Arlington, TX
National Provider Identifier
1871903401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 69842
- Practice address
- 3939 W Green Oaks Blvd
Arlington, TX 76016-2784 - Phone
- (214) 799-1021
- NPI assigned
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 69842 | TX | Primary |
Addresses
Primary practice location
3939 W Green Oaks Blvd
Arlington, TX 76016-2784
Mailing address
7271 Cabot Estates Dr
Mansfield, TX 76063-4654
Phone (214) 799-1021
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 |
|---|---|---|---|
| 69842 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1871903401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7271 CABOT ESTATES DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634654",
"telephone_number": "214-799-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 W GREEN OAKS BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162784",
"telephone_number": "214-799-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "JACKIE",
"credential": "NCC, LPC, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.