Active NPI
Kerry Drake, LPC
- Professional Counselor
- Plainview, TX
National Provider Identifier
1013183391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14301
- Practice address
- 2700 Yonkers St
Plainview, TX 79072-1826 - Phone
- (806) 293-2636
- Fax
- (806) 296-5804
- NPI assigned
- May 6, 2008
- Last updated
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14301 | TX | Primary |
Addresses
Primary practice location
2700 Yonkers St
Plainview, TX 79072-1826
Mailing address
2700 Yonkers St
Plainview, TX 79072-1826
Phone (806) 293-2636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028125501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14301 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1013183391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 YONKERS ST",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790721826",
"telephone_number": "806-293-2636",
"fax_number": "806-296-5804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 YONKERS ST",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790721826",
"telephone_number": "806-293-2636",
"fax_number": "806-296-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "KERRY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028125501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainview, TX
- Jessalyn Dickerson, PA
- Heather Dillard, LPC
- Vincent Thomas Dipaolo, DPM
- Douglas G. Cummins MD PA (Plainview Surgical Care)
- Dr. Omar Harmouche Plainview PLLC (Plainview Premiere Dentistry)
- DRS Webb & Webb Optometrists LLP
- Valerie Crystal Duran, ACT, LAT
- Carolyn Sue Durham, MASSAGE THERAPY
- Kara Dyer, PT
- Heather Necole Dykes, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.