Active NPI
Mervin Leigh Cleveland Jr., LPC
- Professional Counselor
- Huntsville, TX
National Provider Identifier
1174041628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71508
- Practice address
- 3010 Montgomery Rd
Huntsville, TX 77340-6022 - Phone
- (936) 581-4274
- NPI assigned
- Sep 5, 2017
- Sex
- Male
- 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 | 71508 | TX | Primary |
Addresses
Primary practice location
3010 Montgomery Rd
Huntsville, TX 77340-6022
Mailing address
P.O. Box 1883
Huntsville, TX 77340
Phone (936) 581-4274
Other names 1
- Mr. Mervin Leigh Cleveland Jr.
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71508 | TX | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1174041628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1883",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "77340",
"telephone_number": "936-581-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 MONTGOMERY RD",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773406022",
"telephone_number": "936-581-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "MERVIN",
"middle_name": "LEIGH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MERVIN",
"last_name": "CLEVELAND",
"middle_name": "LEIGH",
"prefix": "MR.",
"suffix": "JR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.