Organization Active NPI

Denovo Therapy LLC

  • Counselor
  • Lubbock, TX
National Provider Identifier
1023627304
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DENOVO THERAPY LLC
Practice address
2345 50TH St Ste 501
Lubbock, TX 79412-2565
Phone
(806) 370-3157
Fax
(806) 243-4002
NPI assigned
Jul 23, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Benjamin McCauley
Title
Director
Phone
(806) 370-3157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2345 50TH St Ste 501
Lubbock, TX 79412-2565

Mailing address

6803 Indiana Ave
Lubbock, TX 79413-6109
Phone (806) 370-3157

National Provider Directory

National Provider Directory

Locations

2345 50th St
Ste 501
Lubbock, TX 79412
Phone (806) 370-3157

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1023627304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136109",
            "telephone_number": "806-370-3157",
            "fax_number": "806-243-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 50TH ST STE 501",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122565",
            "telephone_number": "806-370-3157",
            "fax_number": "806-243-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENOVO THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-370-3157"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.