MEDICARE: NOC CLINICAL COUNSELING AND CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72896	TX

General Provider Information

NPI Number	:	1528508959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOC CLINICAL COUNSELING AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	5830 COLLIN MCKINNEY PKWY STE 301
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5109
Country	:	US
Telephone Number	:	469-215-5713
Fax Number	:

Provider Business Practice Location Address
First Line	:	5830 COLLIN MCKINNEY PKWY STE 301
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5109
Country	:	US
Telephone Number	:	469-215-5713
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	THERESA JAMERSON
Credential	:	LPC-S
Telephone Number	:	248-249-0469

Provider Enumeration Date	:	03/04/2017
Last Update Date	:	01/12/2026

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