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JEFFREY CHARLES PROCTOR LPC
NPI 1821688060
Counselor - Mental Health in Richardson, TX

Active since January 21, 2021Opted out of Medicare · through Mar 28, 2028
2007 N COLLINS BLVD STE 301, RICHARDSON, TX 75080(469) 930-0171 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2022, Jan 21, 2021 (2 updates tracked since 2021).

About Jeffrey Charles Proctor Lpc NPPES

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

JEFFREY CHARLES PROCTOR LPC (NPI 1821688060) is an individual mental health provider in Richardson, Texas, licensed in Texas (84429) and active in the NPI registry since January 2021. He has opted out of Medicare through March 28, 2028 and maintains a secondary practice location in Allen.

NPPES Registry Identity

NPI1821688060
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFREY CHARLES PROCTORCredential: LPC
Location Address2007 N COLLINS BLVD STE 301Richardson, TX 75080-2666
Mailing Address433 Belle Grove Dr Unit 833251Richardson, TX 75083-4658 · (940) 290-3191
Phone(469) 930-0171
Sole ProprietorYes
Enumeration DateJanuary 21, 2021
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1821688060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 84429
2007 N COLLINS BLVD STE 301, Richardson, TX 75080
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 S Watters Rd Ste 247Allen, TX 75013-5230 · Phone (940) 290-3191

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeffrey Charles Proctor Lpc 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 March 28, 2024 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2024
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

KELSEY ERIN BEAMAN MS, LPC
Counselor (Professional)
2007 N COLLINS BLVD STE 301
RICHARDSON, TX 75080
Dallas County (972) 729-9462
DANIA SHAKOOR
Counselor (Mental Health)
2007 N COLLINS BLVD STE 301
RICHARDSON, TX 75080
Dallas County (469) 930-0171
OLIVIA JETT LPC-A
Counselor
2007 N COLLINS BLVD STE 301
RICHARDSON, TX 75080
Dallas County (469) 930-0171
ASHLYN ROYAL
Counselor (Mental Health)
2007 N COLLINS BLVD STE 301
RICHARDSON, TX 75080
Dallas County (903) 413-6319
MADELINE EVELYN KINSELLA
Counselor (Mental Health)
2007 N COLLINS BLVD STE 301
RICHARDSON, TX 75080
Dallas County (972) 349-0493
KAYLEE WALKER MS, LPC-ASSOCIATE
Counselor (Mental Health)
2007 N COLLINS BLVD STE 301
RICHARDSON, TX 75080
Dallas County (972) 855-8242

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 Jeffrey Proctor's NPI number?

The NPI number for Jeffrey Proctor is 1821688060. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Jeffrey Proctor located?

Jeffrey Proctor practices at 2007 N Collins Blvd Ste 301, Richardson, TX 75080. The listed phone number is (469) 930-0171.

What is Jeffrey Proctor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jeffrey Proctor enrolled in Medicare?

No. Jeffrey Proctor has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jeffrey Proctor accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jeffrey Proctor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Proctor was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.