Individual provider Active NPI

Tori Dismuke Eudy, LPC

  • Professional Counselor
  • Mesquite, TX
National Provider Identifier
1114278421
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69505 Issued in TX
Practice address
701 Highway 352 Ste A100
Mesquite, TX 75149-6897
Phone
(214) 642-9695
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 69505 TX Primary

Addresses

Primary practice location

701 Highway 352 Ste A100
Mesquite, TX 75149-6897

Mailing address

701 Highway 352 Ste 100a
Mesquite, TX 75149-6897
Phone (214) 642-9695

Other practice location 1

1136 Paintbrush St
Mesquite, TX 75149-2619
Phone (214) 642-9695

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

LicenseStateTypeSpecialty
69505TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1114278421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HIGHWAY 352 STE 100A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496897",
            "telephone_number": "214-642-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGHWAY 352 STE A100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496897",
            "telephone_number": "214-642-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 Paintbrush St",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492619",
            "country_code": "US",
            "telephone_number": "214-642-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISMUKE EUDY",
        "first_name": "TORI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.