Individual provider Active NPI

Deneisa Starlene McKaskle, LPC

  • Professional Counselor
  • Odessa, TX
National Provider Identifier
1104130228
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64311 Issued in TX
Practice address
5120 Richardson Dr
Odessa, TX 79762-4777
Phone
(432) 248-6449
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64311 TX Primary

Addresses

Primary practice location

5120 Richardson Dr
Odessa, TX 79762-4777

Mailing address

5120 Richardson Dr
Odessa, TX 79762-4777
Phone (432) 248-6449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103002100 TX Practitioner - Mental Health Counselor 8325538911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

699 W Campus Dr
Crane, TX 79731-2402
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64311TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

699 W Campus Dr
Crane, TX 79731
Phone (432) 558-3400

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

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.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1104130228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 RICHARDSON DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624777",
            "telephone_number": "432-248-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 RICHARDSON DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624777",
            "telephone_number": "432-248-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKASKLE",
        "first_name": "DENEISA",
        "middle_name": "STARLENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.