Active NPI
Viema Chinwe Emmanuel-Perez, LPC, LCDC-I
- Professional Counselor
- Pantego, TX
National Provider Identifier
1235296856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62485
- Practice address
- 3603 W Pioneer Pkwy Ste a
Pantego, TX 76013-4535 - Phone
- (817) 801-3414
- NPI assigned
- Jan 2, 2007
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62485 | TX | Primary |
Addresses
Primary practice location
3603 W Pioneer Pkwy Ste a
Pantego, TX 76013-4535
Mailing address
581 Majestic Park LN
Cedar Hill, TX 75104-1763
Phone (214) 448-1436
Other practice location 1
201 E 9th St
Dallas, TX 75203-2229
Phone (972) 502-4003
Other practice location 2
6350 North Interstate 35
Waxahachie, TX 75165
Phone (972) 617-6222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348960102 | Medicaid | TX | |
| 348960101 | Medicaid | TX |
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 |
|---|---|---|---|
| 62485 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of Ellis County | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Waxahachie, TX
- NPI 1508998972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1235296856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 MAJESTIC PARK LN",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751041763",
"telephone_number": "214-448-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 W PIONEER PKWY STE A",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134535",
"telephone_number": "817-801-3414"
}
],
"practiceLocations": [
{
"address_1": "201 E 9th St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752032229",
"country_code": "US",
"telephone_number": "972-502-4003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6350 North Interstate 35",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "75165",
"country_code": "US",
"telephone_number": "972-617-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMANUEL-PEREZ",
"first_name": "VIEMA",
"middle_name": "CHINWE",
"name_prefix": "Miss",
"credential": "LPC, LCDC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348960102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348960101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.