Individual provider Active NPI

Dwayne Garrett Zeboski, LPC

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1174755987
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14459 Issued in TX
Practice address
915 Skyline Dr
Suite 100
Arlington, TX 76011-4924
Phone
(817) 299-9200
Fax
(817) 461-6203
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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 14459 TX Primary

Addresses

Primary practice location

915 Skyline Dr
Suite 100
Arlington, TX 76011-4924

Mailing address

2625 N Hwy 360 Apt 1017
Grand Prairie, TX 75050-7895
Phone (817) 299-9200

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1174755987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N HWY 360 APT 1017",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507895",
            "telephone_number": "817-299-9200",
            "fax_number": "817-461-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SKYLINE DR",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114924",
            "telephone_number": "817-299-9200",
            "fax_number": "817-461-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBOSKI",
        "first_name": "DWAYNE",
        "middle_name": "GARRETT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.