Individual provider Active NPI

Jan'L Lowry

  • Addiction (Substance Use Disorder) Counselor
  • Addison, TX
National Provider Identifier
1942598024
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13748 Issued in TX
Practice address
16160 Midway Rd Ste 218
Addison, TX 75001-4207
Phone
(469) 680-3500
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13748 TX Primary
Psychologist 103T00000X TLMP1393 KS

Addresses

Primary practice location

16160 Midway Rd Ste 218
Addison, TX 75001-4207

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 737-8768

Other practice location 1

500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118

Other practice location 2

11551 Forest Central Dr Ste 202
Dallas, TX 75243-3919
Phone (817) 751-7802

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
TLMP1393KSMDPsychologist
13748TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Jun 22, 2021 Accepting new patients
Progressive Behavioral Health, PLLC Addiction (Substance Use Disorder) PastSince Feb 14, 2023 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Psychologist PastSince Jul 1, 2017 Accepting new patients

Locations

16160 Midway Rd
Ste 218
Addison, TX 75001
Phone (469) 680-3500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1942598024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY STE 235",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611454",
            "telephone_number": "847-737-8768",
            "fax_number": "847-859-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16160 MIDWAY RD STE 218",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014207",
            "telephone_number": "469-680-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Limit St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660484435",
            "country_code": "US",
            "telephone_number": "913-682-5118",
            "fax_number": "913-682-4664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11551 Forest Central Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433919",
            "country_code": "US",
            "telephone_number": "817-751-7802",
            "fax_number": "847-859-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "JAN'L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13748",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "TLMP1393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.