My Friend Jack's House
NPI 1356103105ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· McKinney, TX
Counselor, Addiction (Substance Use Disorder) in McKinney, Texas, registered in NPPES in January 2024. The authorized official on file is Bonnie Donaldson, LCDC, CFLE, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356103105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2024 |
| Last updated in NPPES | Mar 4, 2026 |
| Certified by provider | Mar 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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