Individual provider Active NPI

Alex Monceaux

  • Professional Counselor
  • Beaumont, TX
National Provider Identifier
1366830697
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67820 Issued in TX
Practice address
211 Red Bird Lane
Education Building, Room 115
Beaumont, TX 77710-0034
Phone
(409) 880-7681
Fax
(409) 880-2252
NPI assigned
Jan 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 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 67820 TX Primary

Addresses

Primary practice location

211 Red Bird Lane
Education Building, Room 115
Beaumont, TX 77710-0034

Mailing address

PO Box 10034
Education Building, Room 115
Beaumont, TX 77710-0034
Phone (409) 880-7681

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
67820TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1366830697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10034",
            "address_2": "EDUCATION BUILDING, ROOM 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777100034",
            "telephone_number": "409-880-7681",
            "fax_number": "409-880-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RED BIRD LANE",
            "address_2": "EDUCATION BUILDING, ROOM 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777100034",
            "telephone_number": "409-880-7681",
            "fax_number": "409-880-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCEAUX",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.