Individual provider Active NPI

Jeremy Matthew Sessoms, LMFT, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1881143162
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67605 Issued in TX
Practice address
2501 Parkview Dr
312
Ft Worth, TX 76102-5824
Phone
(682) 200-9978
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67605 TX Primary
Marriage & Family Therapist 106H00000X 201656 TX

Addresses

Primary practice location

2501 Parkview Dr
312
Ft Worth, TX 76102-5824

Mailing address

2501 Parkview Dr
312
Ft Worth, TX 76102-5824
Phone (682) 200-9978

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
67605TXMDProfessional Counselor
201656TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1881143162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "312",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "682-200-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "312",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "682-200-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSOMS",
        "first_name": "JEREMY",
        "middle_name": "MATTHEW",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67605",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201656",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2016; 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.