MR. JOHNATHAN MILES SUMPTER (NPI# 1053770396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053770396 |
| Entity Type | Individual |
| Full Name | MR. JOHNATHAN MILES SUMPTER |
| Credential | MBA, MA, LPC |
| Practice Address |
2300 Valley View Lane Irving TX 76052 |
| Mailing Address |
4003 Segram Court Arlington TX 76016-3330 |
| Practice Telephone | 6827773988 |
| Mailing Telephone | 8064630068 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 69523 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
69523 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2300 VALLEY VIEW LANE |
| City | IRVING |
| State | TX |
| Zip Code | 76052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568909703 | Ami E Hill | Occupational Therapist | 2300 Valley View Lane, Sweet 855, Irving, TX 75062 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123481 | Coppell Spine & Sports Rehab Limited Partnership | Physical Therapist | 12520 Willow Springs Road, Building 3, Suite 104, Haslet, TX 76052 | 2020-01-10 |
| 1568954451 | Brian Rue | Physical Therapist | 12520 Willow Springs Rd, Bldg 3, #104, Haslet, TX 76052 | 2018-06-05 |
| 1831550334 | Haslet Family Dental Pllc | Dentist | 2412 Avondale Haslet Ro., Suite 100, Fort Worth, TX 76052 | 2016-03-10 |
| 1205293883 | William Shattuck, Dds, Pllc | Dentist | 295 Fm 156, Ste 200, Haslet, TX 76052 | 2016-01-27 |
| 1790155489 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 13901 Sendera Ranch Rd, Haslet, TX 76052 | 2015-10-07 |
| 1902203409 | Matthew Sapit | Physician Assistant | 13000 Chisholm Ranch Dr, Haslet, TX 76052 | 2014-11-26 |
| 1457750853 | Haslet Medical Center LLC | Clinic/Center | 13172 Nw Hwy 287, Fort Worth, TX 76052 | 2014-08-21 |
| 1972943355 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2401 Avondale Haslet, Fort Worth, TX 76052 | 2013-06-28 |
| 1356784110 | Pediatric Dentistry of Haslet, P.C. | Dentist | 544 Fm 156 South, Suite 100, Haslet, TX 76052 | 2013-04-11 |
| 1073866703 | Lisa Mari Cecil | Specialist | 10840 Texas Health Trail, Ste 110, Ft Worth, TX 76052 | 2012-10-18 |
| Find all providers in zip 76052 | ||||
| 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 |
|---|---|---|---|---|
| 1689237075 | Llewellyn Shields Morgan | Counselor | 1713 Cypress Dr, Irving, TX 75061-2349 | 2019-04-21 |
| 1740754670 | Danielle Moreno | Counselor | 3636 N Macarthur Blvd Ste 160, Irving, TX 75062-3601 | 2019-01-14 |
| 1629578133 | Bree Bozeman | Counselor | 612 N Story Rd Ste 101, Irving, TX 75061-6764 | 2018-02-20 |
| 1669919627 | Natasha Glass | Counselor | 7306 Parkridge Blvd Apt 106, Irving, TX 75063-8354 | 2017-01-27 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1427455955 | Benjamin Mooney | Counselor | 6913 State Highway 161, #325-2, Irving, TX 75039-2432 | 2014-11-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1588957260 | Robert Lanier | Counselor | 6445 Love Dr Apt 3025, Irving, TX 75039-4097 | 2011-05-27 |
| 1174755235 | Rickey Dovers | Counselor | 1000 N Belt Line Rd, Suite 102, Irving, TX 75061-4069 | 2009-08-21 |
| 1740456805 | Keyven Kardell Moore | Counselor | 3520 Briarcliff Ct N, Irving, TX 75062-3205 | 2008-05-07 |
| Find all providers in IRVING | ||||
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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.