Individual provider Active NPI

Jerritt Wayne Todd, LPC

  • Mental Health Counselor
  • McKinney, TX
National Provider Identifier
1972101194
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80453 Issued in TX
Practice address
4801 Medical Center Dr
McKinney, TX 75069-1881
Phone
(469) 714-0006
NPI assigned
Oct 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80453 TX Primary

Addresses

Primary practice location

4801 Medical Center Dr
McKinney, TX 75069-1881

Mailing address

2011 Palo Alto Dr
Carrollton, TX 75006-3111
Phone (214) 549-8979

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250305001214 TX Practitioner - Mental Health Counselor 4880115948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exult Healthcare Solutions, LLCGroup PAC ID 5092005579, 4 clinicians

Practice addresses (Care Compare)

4801 Medical Ctr Dr
McKinney, TX 75069-1881
Phone (469) 714-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deepika Bhargava, M.D., P.a. CurrentSince Aug 1, 2025 Accepting new patients
Exult Healthcare Solutions, LLC CurrentSince Jan 2, 2025 Accepting new patients

Locations

4801 Medical Center Dr
McKinney, TX 75069
Phone (469) 214-7801

Organizations & group practices 2

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1972101194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PALO ALTO DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063111",
            "telephone_number": "214-549-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MEDICAL CENTER DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691881",
            "telephone_number": "469-714-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JERRITT",
        "middle_name": "WAYNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.