Jennifer Whitted

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75411 Issued in TX

Practice address

210 W 10TH St
Dallas, TX 75208-4523

Phone

(214) 351-3490

NPI assigned

May 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family and Child Guidance Centers

  dba Child and Family Guidance Centers

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1811062367

  Professional

  Medicare reassignment NPD
• Family and Child Guidance Centers

  dba Child and Family Rx

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1770231615
  NPD

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1912386012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351717",
            "telephone_number": "214-351-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084523",
            "telephone_number": "214-351-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Cee Whitney
• Johanna Jean Whitson, AU.D.
• Elizabeth Lynn Whitt
• Carly Russo Whittaker, DPT
• Elaine P. Whittaker, M.D.
• Anthony R Whittemore, MD PHD
• Brett Anthony Whittemore, MD
• Charles Wesley Whitten, MD
• Whittenburg Bone & Joint Clinic, P a
• Sarah V Whittier, LCSW

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.