Active NPI
Ida Lee Duplechin, L.P.C.
- Professional Counselor
- Beaumont, TX
National Provider Identifier
1144666942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68061
- Practice address
- 6755 Phelan Boulevard
BLDG 24 Suite D
Beaumont, TX 77706 - Phone
- (409) 893-1004
- NPI assigned
- May 20, 2013
- 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 | 68061 | TX | Primary |
Addresses
Primary practice location
6755 Phelan Boulevard
BLDG 24 Suite D
Beaumont, TX 77706
Mailing address
P.O. Box 5313
Beaumont, TX 77726
Phone (409) 893-1004
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 |
|---|---|---|---|
| 68061 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1144666942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5313",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77726",
"telephone_number": "409-893-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6755 PHELAN BOULEVARD",
"address_2": "BLDG 24 SUITE D",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77706",
"telephone_number": "409-893-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLECHIN",
"first_name": "IDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.