Active NPI
Gage Paulk, LCDC
- Addiction (Substance Use Disorder) Counselor
- Lubbock, TX
National Provider Identifier
1326830332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17404
- Practice address
- 6917 Fremont Ave Apt B
Lubbock, TX 79413-6200 - Phone
- (806) 759-3434
- NPI assigned
- May 19, 2025
- Last updated
- May 30, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17404 | TX | Primary |
Addresses
Primary practice location
6917 Fremont Ave Apt B
Lubbock, TX 79413-6200
Mailing address
6917 Fremont Ave Apt B
Lubbock, TX 79413-6200
Phone (806) 759-3434
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 |
|---|---|---|---|
| 17404 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1326830332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 FREMONT AVE APT B",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136200",
"telephone_number": "806-759-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6917 FREMONT AVE APT B",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136200",
"telephone_number": "806-759-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULK",
"first_name": "GAGE",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "17404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.