Individual provider Active NPI

Catherine Deem, MA, CFT, LPC

  • Mental Health Counselor
  • Pantego, TX
National Provider Identifier
1063843746
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
66137 Issued in TX
Practice address
3008 W Park Row Dr Ste B
Pantego, TX 76013-2050
Phone
(817) 789-4008
Fax
(817) 789-4228
NPI assigned
Dec 6, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 66137 TX Primary

Addresses

Primary practice location

3008 W Park Row Dr Ste B
Pantego, TX 76013-2050

Mailing address

3008 W Park Row Dr Ste B
Pantego, TX 76013-2050
Phone (817) 789-4008

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
66137TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1063843746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 W PARK ROW DR STE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760132050",
            "telephone_number": "817-789-4008",
            "fax_number": "817-789-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 W PARK ROW DR STE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760132050",
            "telephone_number": "817-789-4008",
            "fax_number": "817-789-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEM",
        "first_name": "CATHERINE",
        "credential": "MA, CFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.