Jackson Jontra

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

420 Hawkins Run Rd Ste 100
Midlothian, TX 76065-6654

Phone

(214) 530-2335

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virtually Speaking: Counseling and Consulting Services, LLC

  dba Lifeologie (Lifeologie Midlothian)

  • Counselor
  • Midlothian, TX
  • NPI 1417608183
  NPD (past)

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1902636202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 VILLAGE BEND DR APT 1105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063554",
            "telephone_number": "903-330-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HAWKINS RUN RD STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656654",
            "telephone_number": "214-530-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONTRA",
        "first_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Glen Johnson
• Lauren Elizabeth Johnson, FNP-C
• Phillip Isaac Johnson, DDS
• Tricia Lynn Johnson, BSN, RN
• Jacqueline Marie Jones, RN, CEN, TCRN, ATCN
• Eryn Casey Jordan, OTR/L
• Gelasia Bernadette Jordan, MS, CCC-SLP
• Rachel Marie Joseph, D.O.
• Shirley Courim Joslin, M.D.
• Kristen Julin, PSY.D.

• Counselor in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.