Individual provider Active NPI

Darrius Humphrey

  • Professional Counselor
  • Beaumont, TX
National Provider Identifier
1174081913
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11087 Issued in SC
Practice address
5345 Fairview Ave
Beaumont, TX 77705-6015
Phone
(832) 584-0371
NPI assigned
Mar 12, 2019
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 11087 SC Primary

Addresses

Primary practice location

5345 Fairview Ave
Beaumont, TX 77705-6015

Mailing address

5345 Fairview Ave
Beaumont, TX 77705-6015
Phone (832) 584-0371

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fulton

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
11087SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship Rescue Mental Health Current 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, 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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1174081913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 FAIRVIEW AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056015",
            "telephone_number": "832-584-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 FAIRVIEW AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056015",
            "telephone_number": "832-584-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "DARRIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fulton",
            "affiliation": "N",
            "address_1": "7625 wood lawn boulevard",
            "address_2": "medical arts building, Suite LL50",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 19, 2026; 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.