JENNIFER CUMMINGS SHOTWELL LCDC
NPI 1720587173
Counselor - Addiction (Substance Use Disorder) in Dallas, TX

Active since February 12, 2018Opted out of Medicare · through Jan 1, 2028
2626 COLE AVE STE 300, DALLAS, TX 75204(713) 557-8430 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, Feb 12, 2018 (2 updates tracked since 2018).

About Jennifer Cummings Shotwell Lcdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER CUMMINGS SHOTWELL LCDC (NPI 1720587173) is an individual addiction (substance use disorder) provider in Dallas, Texas, licensed in Texas (14218) and active in the NPI registry since February 2018. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1720587173
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER CUMMINGS SHOTWELLCredential: LCDC
Location Address2626 COLE AVE STE 300Dallas, TX 75204-1094
Mailing Address6472 Trammel DrDallas, TX 75214-2219 · (713) 557-8430
Sole ProprietorYes
Enumeration DateFebruary 12, 2018
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
NPI 1720587173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 14218
2626 COLE AVE STE 300, Dallas, TX 75204

Secondary Practice Location 1

Location 112810 Hillcrest Rd # B223Dallas, TX 75230-1525 · Phone (713) 557-8430

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Cummings Shotwell Lcdc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
2626 COLE AVE STE 300
DALLAS, TX 75204
Respite Care
2626 COLE AVE STE 300
DALLAS, TX 75204
Counselor (Professional)
2626 COLE AVE STE 300
DALLAS, TX 75204
Durable Medical Equipment & Medical Supplies
2626 COLE AVE STE 300
DALLAS, TX 75204
Nurse Practitioner (Psychiatric/Mental Health)
2626 COLE AVE STE 300
DALLAS, TX 75204
Home Health
2626 COLE AVE STE 300
DALLAS, TX 75204
Nutritionist
2626 COLE AVE STE 300
DALLAS, TX 75204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shotwell's NPI number?

The NPI number for Jennifer Shotwell is 1720587173. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Jennifer Shotwell located?

Jennifer Shotwell practices at 2626 Cole Ave Ste 300, Dallas, TX 75204. The listed phone number is (713) 557-8430.

What is Jennifer Shotwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jennifer Shotwell enrolled in Medicare?

No. Jennifer Shotwell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Shotwell was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.