Active NPI
Neilson Treble
- Counselor
- Texas City, TX
National Provider Identifier
1205764347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 67020
- Practice address
- 2417 28TH Ave N
Texas City, TX 77590-3910 - Phone
- (409) 354-3972
- NPI assigned
- May 11, 2026
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 67020 | TX | Primary |
Addresses
Primary practice location
2417 28TH Ave N
Texas City, TX 77590-3910
Mailing address
2417 28TH Ave N
Texas City, TX 77590-3910
Phone (409) 354-3972
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 |
|---|---|---|---|
| 67020 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1205764347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 28TH AVE N",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775903910",
"telephone_number": "409-354-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 28TH AVE N",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775903910",
"telephone_number": "409-354-3972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREBLE",
"first_name": "NEILSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "67020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.