Active NPI
Donna Germino Earle, MA., LPC
- Professional Counselor
- Southlake, TX
National Provider Identifier
1104494541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82783
- Practice address
- 3217 Wilbarger TRL
Southlake, TX 76092-3331 - Phone
- (214) 336-4933
- NPI assigned
- Jun 13, 2021
- 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 | 82783 | TX | Primary |
Addresses
Primary practice location
3217 Wilbarger TRL
Southlake, TX 76092-3331
Mailing address
401 N. Carroll Avenue
Suite 401
Southlake, TX 76092
Phone (214) 336-4933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82783 | Other | TX | TEXAS STATE OF EXAMINERS OF PROFESSIONAL COUNSELORS |
Other names 1
- Donna Germino Earle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 19, 2024 through Jan 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82783 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1104494541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N. CARROLL AVENUE",
"address_2": "SUITE 401",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "76092",
"telephone_number": "214-336-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 WILBARGER TRL",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923331",
"telephone_number": "214-336-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLE",
"first_name": "DONNA",
"middle_name": "GERMINO",
"credential": "MA., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-13",
"last_updated": "2024-04-30",
"certification_date": "2021-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE OF EXAMINERS OF PROFESSIONAL COUNSELORS",
"identifier": "82783",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "EARLE",
"middle_name": "GERMINO",
"credential": "MA., LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.