JOHNATHAN MCKENNIS (NPI# 1265057376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265057376 |
Entity Type | Individual |
Full Name | JOHNATHAN MCKENNIS |
Credential | CFSA |
Practice Address |
9440 Poppy Dr Dallas TX 75218-3652 |
Mailing Address |
120 E Grubb Dr # 852725 Mesquite TX 75149-3488 |
Practice Telephone | 2143246100 |
Mailing Telephone | 6012144987 |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-06-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
9440 POPPY DR |
City | DALLAS |
State | TX |
Zip Code | 75218-3652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104880640 | William Larry Elder | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2006-04-13 |
1255944310 | Christopher Gerald Scott | Specialist/Technologist, Other | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-08-28 |
1548892714 | City Hospital Physician Group Inc | Clinic/Center | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-02-06 |
1700443421 | Pipeline East Dallas LLC | Clinic/Center | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2019-05-29 |
1578057212 | Kevin Laval Burchfield | Specialist/Technologist, Other | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-06-16 |
1083103501 | Kingston Emergency Physicians Medical Group Pllc | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-05-10 |
1992294417 | Canyon Oaks Hospitalist Medical Group Pllc | Hospitalist | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-05-10 |
1083112023 | Pipeline East Dallas LLC | General Acute Care Hospital | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-01-24 |
1598138919 | Bt East Dallas Jv, LLP | General Acute Care Hospital | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2015-11-06 |
1003288069 | Fortress Emergency Physicians, Pplc | Physician Assistant | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2015-10-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
Find all providers in zip 75218 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003416389 | Megan Marie Daniel | Counselor | 11040 Mccree Rd, Dallas, TX 75238-3033 | 2020-10-27 |
1265043871 | Stephanie Faye Mcgary | Counselor | 6935 Rondo Dr, Dallas, TX 75241-3791 | 2020-08-17 |
1811507809 | Anita Ann Rutherford | Counselor | 14900 Lasater Rd Tr 236, Dallas, TX 75253 | 2020-08-04 |
1811507981 | U Got This Therapy Services Pllc | Counselor | 11325 Pegasus St Ste W210, Dallas, TX 75238-5203 | 2020-08-04 |
1659980829 | Christopher Thomas Wolff Jr. | Counselor | 17214 Stedman Dr, Dallas, TX 75252-5743 | 2020-07-23 |
1053929380 | Krystal Lee Skaggs | Counselor | 2035 Cullen Dr, Dallas, TX 75206-7127 | 2020-07-22 |
1922624634 | Collins Counseling Center | Counselor | 6060 N Central Expy Ste 240, Dallas, TX 75206-5203 | 2020-06-18 |
1497375562 | Rachel Miriam Berger | Counselor | 13500 Midway Rd Ste 404, Dallas, TX 75244-5154 | 2020-04-19 |
1366073199 | Shawndell Springer | Counselor | 4734 Hamilton Ave, Suite 202, Dallas, TX 75223-3418 | 2020-01-30 |
1235779182 | James Jordan Greenwald | Counselor | 6510 Abrams Rd Ste 413, Dallas, TX 75231-7217 | 2020-01-08 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.