Individual provider Active NPI

Elliott Dupree, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1255699690
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61963 Issued in TX
Practice address
8633 W Airport Blvd
103
Houston, TX 77071-2479
Phone
(713) 988-3900
Fax
(832) 201-7872
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61963 TX
Professional Counselor 101YP2500X 61963 TX Primary

Addresses

Primary practice location

8633 W Airport Blvd
103
Houston, TX 77071-2479

Mailing address

8633 W Airport Blvd
103
Houston, TX 77071-2479
Phone (713) 988-3900

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

LicenseStateTypeSpecialty
61963TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Network LLC Mental Health Current Accepting new patients

Locations

8633 W Airport Blvd
#103
Houston, TX 77071
Phone (713) 988-3900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1255699690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8633 W AIRPORT BLVD",
            "address_2": "103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712479",
            "telephone_number": "713-988-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 W AIRPORT BLVD",
            "address_2": "103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712479",
            "telephone_number": "713-988-3900",
            "fax_number": "832-201-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61963",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.