Individual provider Active NPI

Claire V Raesch, LCPC

  • Professional Counselor
  • Beaumont, TX
National Provider Identifier
1154948404
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93699 Issued in TX
Practice address
13420 Thousand Oaks Dr
Beaumont, TX 77713-8436
Phone
(409) 240-0480
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 93699 TX Primary

Addresses

Primary practice location

13420 Thousand Oaks Dr
Beaumont, TX 77713-8436

Mailing address

13420 Thousand Oaks Dr
Beaumont, TX 77713-8436
Phone (409) 240-0480

Other practice location 1

200 Glenn St Ste 302
Cumberland, MD 21502-2583
Phone (240) 580-1919

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
93699TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Sunrise Counseling PLLC Professional CurrentSince Feb 4, 2024 Accepting new patients

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1154948404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 THOUSAND OAKS DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138436",
            "telephone_number": "409-240-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 THOUSAND OAKS DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138436",
            "telephone_number": "409-240-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Glenn St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215022583",
            "country_code": "US",
            "telephone_number": "240-580-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAESCH",
        "first_name": "CLAIRE",
        "middle_name": "V",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93699",
            "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 Jan 25, 2024; 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.