Individual provider Active NPI

John Pippin, M.S., LPC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1326435033
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69952 Issued in TX
Practice address
4901 Lakewood Dr
Waco, TX 76710-2918
Phone
(254) 300-4116
Fax
(254) 300-4118
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69952 TX Primary

Addresses

Primary practice location

4901 Lakewood Dr
Waco, TX 76710-2918

Mailing address

4901 Lakewood Dr
Waco, TX 76710-2918
Phone (254) 300-4116

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
I20240223001282 TX Practitioner - Mental Health Counselor 5193169670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
69952TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Region MHMR Center CurrentSince Jan 11, 2024 Accepting new patients
Abounding Aspirations Psychological Services Incorporated Professional Past Accepting new patients

Locations

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

1105 Jefferson Ave
Waco, TX 76701
Phone (254) 297-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1326435033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LAKEWOOD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102918",
            "telephone_number": "254-300-4116",
            "fax_number": "254-300-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LAKEWOOD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102918",
            "telephone_number": "254-300-4116",
            "fax_number": "254-300-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.