Active NPI
Denise Butler-Owen, LCSW
- Mental Health Counselor
- Beaumont, TX
National Provider Identifier
1174653265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 24413
- Practice address
- 7750 Gladys Ave
Suite B
Beaumont, TX 77706-8204 - Phone
- (409) 838-0505
- Fax
- (409) 866-7325
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 24413 | TX | Primary |
Addresses
Primary practice location
7750 Gladys Ave
Suite B
Beaumont, TX 77706-8204
Mailing address
7750 Gladys Ave
Suite B
Beaumont, TX 77706-8204
Phone (409) 838-0505
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 |
|---|---|---|---|
| 24413 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174653265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7750 GLADYS AVE",
"address_2": "SUITE B",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777068204",
"telephone_number": "409-838-0505",
"fax_number": "409-866-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 GLADYS AVE",
"address_2": "SUITE B",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777068204",
"telephone_number": "409-838-0505",
"fax_number": "409-866-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER-OWEN",
"first_name": "DENISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "24413",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.