Active NPI
Dave Waxler, LPC
- Professional Counselor
- Conroe, TX
National Provider Identifier
1063952273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68243
- Practice address
- 821 Dragonfly Dr
Conroe, TX 77301-5501 - Phone
- (936) 443-6107
- NPI assigned
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 68243 | TX | Primary |
Addresses
Primary practice location
821 Dragonfly Dr
Conroe, TX 77301-5501
Mailing address
821 Dragonfly Dr
Conroe, TX 77301-5501
Phone (936) 443-6107
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 |
|---|---|---|---|
| 68243 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Clarity PLLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- The Woodlands, TX
- NPI 1396266565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1063952273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 DRAGONFLY DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773015501",
"telephone_number": "936-443-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 DRAGONFLY DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773015501",
"telephone_number": "936-443-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAXLER",
"first_name": "DAVE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.