Active NPI
Rosemarie Dezelle, LPC
- Professional Counselor
- Hawkins, TX
National Provider Identifier
1093098154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9104
- Practice address
- 485 Private Road 6656
Hawkins, TX 75765-4359 - Phone
- (903) 780-0040
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Female
- 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 | 9104 | TX | Primary |
Addresses
Primary practice location
485 Private Road 6656
Hawkins, TX 75765-4359
Mailing address
485 Private Road 6656
Hawkins, TX 75765-4359
Phone (903) 780-0040
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 |
|---|---|---|---|
| 9104 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1093098154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 PRIVATE ROAD 6656",
"city": "HAWKINS",
"state": "TX",
"postal_code": "757654359",
"telephone_number": "903-780-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 PRIVATE ROAD 6656",
"city": "HAWKINS",
"state": "TX",
"postal_code": "757654359",
"telephone_number": "903-780-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEZELLE",
"first_name": "ROSEMARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawkins, TX
- Carroll Partners Investment Inc (The Gardens at Hawkins ALC)
- Christus Trinity Clinic Texas (Christus Trinity Clinic Holly Lake)
- Mary Leann Clowers, LVN
- Rebecca A Davenport, DDS
- Dawn Health Care, LLC (Dawn Health)
- Gabrielle P Durham
- Heather Rene Elmore
- Danny Green, MT, CLT
- Jessica Dawn Havir, FNP-C
- Hawkins Hometown Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.