Provider Demographics
NPI:1629087218
Name:TURNIPSEED, JON KEVIN (LPC)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:KEVIN
Last Name:TURNIPSEED
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2522
Mailing Address - Country:US
Mailing Address - Phone:682-518-0055
Mailing Address - Fax:682-518-5430
Practice Address - Street 1:2364 HWY 287 N
Practice Address - Street 2:SUITE 101
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9206
Practice Address - Country:US
Practice Address - Phone:682-518-0055
Practice Address - Fax:682-518-5430
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13987101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1740453463OtherGROUP NPI
TX203674101Medicaid
TX1629087218OtherINDIVIDUAL NPI
TX203675801Medicaid