Individual provider Active NPI

Dwight D Lavan, PH.D., LCDC, QMHP-CS, CHW

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1306530670
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2600 S Loop W Ste 322
Houston, TX 77054-2886
Phone
(713) 816-6646
Fax
(346) 450-6962
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Case Management Agency 251B00000X
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X TX Primary
Case Manager/Care Coordinator 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X 14456 TX

Addresses

Primary practice location

2600 S Loop W Ste 322
Houston, TX 77054-2886

Mailing address

PO Box 300711
Houston, TX 77230-0711
Phone (713) 816-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000597 TX Practitioner - Mental Health Counselor 1759884539 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 S Loop W
Suite 322
Houston, TX 77054-2886
Phone (713) 816-6646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14456TXMDCommunity Health Worker
16924TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
God Smiles Ministries Addiction (Substance Use Disorder) PastSince May 18, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1306530670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300711",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300711",
            "telephone_number": "713-816-6646",
            "fax_number": "346-450-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S LOOP W STE 322",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542886",
            "telephone_number": "713-816-6646",
            "fax_number": "346-450-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAN, PH.D.",
        "first_name": "DWIGHT",
        "middle_name": "D",
        "credential": "LCDC, QMHP-CS, CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "14456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.