Individual provider Active NPI

King Landiss Buchanan II

  • Counseling Psychologist
  • Lubbock, TX
National Provider Identifier
1003835471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
TX23833 Issued in TX
Practice address
8008 Slide Rd
Lubbock, TX 79424-2841
Phone
(806) 798-8855
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X TX23833 TX Primary

Addresses

Primary practice location

8008 Slide Rd
Lubbock, TX 79424-2841

Mailing address

5527 79TH St
Lubbock, TX 79424-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919002511 TX Practitioner - Clinical Psychologist 3173810181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8008 Slide Rd
Lubbock, TX 79424-2828
Phone (806) 632-7955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TX23833TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
King L Buchanan Jr PHD PC CurrentSince Jun 28, 2016 Accepting new patients

Locations

8008 Slide Rd
Ste 24
Lubbock, TX 79424
Phone (806) 340-0446

8008 Slide Rd
Ste 25
Lubbock, TX 79424
Phone (806) 632-7955

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003835471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242841",
            "telephone_number": "806-798-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KING",
        "middle_name": "LANDISS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "TX23833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.