SHANDELLE JEFFERSON (NPI# 1447868112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447868112 |
| Entity Type | Individual |
| Full Name | SHANDELLE JEFFERSON |
| Credential | LPC |
| Practice Address |
1350 N Westmoreland Rd Dallas TX 75211-1654 |
| Mailing Address |
1755 Reynolds St Lancaster TX 75134-4124 |
| Practice Telephone | 2143300036 |
| Mailing Telephone | 2532454045 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
80580 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1755 Reynolds St, Lancaster, TX 751344124 | 2532454045 |
| Street Address |
1350 N WESTMORELAND RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104845304 | Ikechukwu Robert Ofomata | Psychiatry & Neurology | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2006-07-19 |
| 1306461934 | Alvine Metoho-eke | Nurse Practitioner | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2020-06-09 |
| 1760016810 | Georgina Flores | Counselor | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2020-02-27 |
| 1962041178 | Matthew Warren Spikes | Counselor | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2020-01-06 |
| 1558915819 | Evena M Pierre | Psychologist | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2019-07-25 |
| 1093276800 | Scott Pasnik | Counselor | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2019-03-26 |
| 1689132599 | Martha Kemunto Motari I | Nurse Practitioner | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2019-03-10 |
| 1124590690 | Brittani Taylor | Counselor | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2018-12-21 |
| 1609362276 | Crystal Celeste Villafranco | Social Worker | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2018-07-07 |
| 1043684897 | Duncan Mwangi | Nurse Practitioner | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2015-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
| 1104317601 | May Amria | Dentist | 3434 W Illinois Ave Ste 307, Dallas, TX 75211 | 2018-05-21 |
| 1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
| 1568733616 | Amit Sethi | Dentist | 4475 Adler Dr Ste 103, Dallas, TX 75211 | 2012-01-21 |
| 1265764914 | Thomas Lee Schiller | Dentist | 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 | 2010-02-05 |
| 1407030570 | Sylvia Dupuy | Speech-Language Pathologist | 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 | 2007-12-24 |
| 1801088802 | Smile Care Orthodontics | Dentist | 4390 I-30, Ste 200, Dallas, TX 75211 | 2007-08-14 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1578785515 | Rabiu E Omolaja | Case Manager/Care Coordinator | 1353 N. Westmoreland Road #2, Dallas, TX 75211 | 2007-05-02 |
| 1982828687 | Yokitha Kenyetta Hamp | Counselor | 1253 Westmoreland, Dallas, TX 75211 | 2007-04-12 |
| Find all providers in zip 75211 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
| 1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
| 1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
| 1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
| 1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
| 1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
| 1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
| 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.