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NPI Code Detail

MEDICARE: SAME TIME NEXT WEEK COUNSELING & CONSULTATION

MEDICARE: SAME TIME NEXT WEEK COUNSELING & CONSULTATION
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0850XAdult Mental Health Clinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1811696131
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAME TIME NEXT WEEK COUNSELING & CONSULTATION
Provider Business Mailing Address
First Line : 3509 HULEN ST STE 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6834
Country : US
Telephone Number : 817-382-7130
Fax Number : 817-635-0804
Provider Business Practice Location Address
First Line : 3509 HULEN ST STE 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6834
Country : US
Telephone Number : 682-245-1935
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : JADE ALLYN DACUS
Credential : MS, LPC, NCC
Telephone Number : 817-965-2825
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/04/2026

Similar Medicare Providers

1336685346 — ASHLEY STAFFORD LCSW
Practice Location Address:
3509 HULEN ST STE 107
FORT WORTH, TX
76107-6834
Practice Phone: 214-674-7098
Practice Fax: 817-396-7085
1164095196 — PAUL CHERRY LPC, LCDC
Practice Location Address:
3509 HULEN ST STE 107
FORT WORTH, TX
76107-6834
Practice Phone: 817-382-7130
Practice Fax:
1609519743 — JADE ALLYN DACUS MS, LPC, NCC
Practice Location Address:
3509 HULEN ST STE 107
FORT WORTH, TX
76107-6834
Practice Phone: 817-382-7130
Practice Fax:
1114760139 — JESSICA LAELAH MESSMAN LPC-A
Practice Location Address:
3509 HULEN ST STE 107
FORT WORTH, TX
76107-6834
Practice Phone: 972-652-0677
Practice Fax:
1831932854 — NANCY ESTRADA MS, LPC-A, NCC
Practice Location Address:
3509 HULEN ST STE 107
FORT WORTH, TX
76107-6834
Practice Phone: 817-296-7174
Practice Fax:
1003641945 — MS. SUSAN SPARKS LPC
Practice Location Address:
3509 HULEN ST STE 107
FORT WORTH, TX
76107-6834
Practice Phone: 817-382-7130
Practice Fax:

Directions to “SAME TIME NEXT WEEK COUNSELING & CONSULTATION ” Practice Location

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