Individual provider Active NPI

Jimmy Allen Secoy, LPC ASSOCIATE

  • Professional Counselor
  • Burkburnett, TX
National Provider Identifier
1972302925
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93501 Issued in TX
Practice address
407 Buckner St
Burkburnett, TX 76354-2384
Phone
(940) 631-9659
NPI assigned
Mar 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 93501 TX Primary

Addresses

Primary practice location

407 Buckner St
Burkburnett, TX 76354-2384

Mailing address

407 Buckner St
Burkburnett, TX 76354-2384
Phone (940) 631-9659

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
I20260128000041 TX Practitioner - Mental Health Counselor 5597243055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 Gemini Cir
Suite 404
Homewood, AL 35209-5850

1921 9TH St
Wichita Falls, TX 76301-4129

66 E Flagler St
Miami, FL 33130-1807

PO Box
Suite 67
Shannon, AL 35142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93501TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Micah Boyer MD CurrentSince Jan 1, 2026 Accepting new patients

Locations

1921 9th St
Wichita Falls, TX 76301
Phone (940) 322-8475

3901 Armory Rd
Wichita Falls, TX 76302
Phone (940) 397-5431

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1972302925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BUCKNER ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542384",
            "telephone_number": "940-631-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BUCKNER ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542384",
            "telephone_number": "940-631-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOY",
        "first_name": "JIMMY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkburnett, TX

Sources for this page

Verify at the official NPI Registry.