Active NPI
Bobby Joe Todd, LPC, LSOTP, LSSP,LCD
- Professional Counselor
- Stephenville, TX
National Provider Identifier
1194048926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9710
- Practice address
- 1079 County Road 484
Stephenville, TX 76401-7073 - Phone
- (254) 965-6419
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 94250 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3590 | TX | |
| Mental Health Counselor | 101YM0800X | 12730 | TX | |
| Professional Counselor | 101YP2500X | 9710 | TX | Primary |
| School Psychologist | 103TS0200X | 6770 | TX |
Addresses
Primary practice location
1079 County Road 484
Stephenville, TX 76401-7073
Mailing address
1079 County Road 484
Stephenville, TX 76401-7073
Phone (254) 965-6419
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 |
|---|---|---|---|
| 94250 | TX | MD | Counselor |
| 3590 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 12730 | TX | MD | Professional Counselor |
| 9710 | TX | MD | Behavioral Analyst |
| 6770 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1194048926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 COUNTY ROAD 484",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764017073",
"telephone_number": "254-965-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 COUNTY ROAD 484",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764017073",
"telephone_number": "254-965-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "BOBBY",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "LPC, LSOTP, LSSP,LCD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "94250",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "3590",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12730",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9710",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "6770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.