Active NPI
Noel M Slagle, LCDC
- Addiction (Substance Use Disorder) Counselor
- Tyler, TX
National Provider Identifier
1376162354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14774
- Practice address
- 114 Jordan Plaza Blvd
Tyler, TX 75704-2056 - Phone
- (903) 581-9472
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- 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 | 14774 | TX | Primary |
Addresses
Primary practice location
114 Jordan Plaza Blvd
Tyler, TX 75704-2056
Mailing address
114 Jordan Plaza Blvd
Tyler, TX 75704-2056
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 |
|---|---|---|---|
| 14774 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1376162354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 JORDAN PLAZA BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757042056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 JORDAN PLAZA BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757042056",
"telephone_number": "903-581-9472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAGLE",
"first_name": "NOEL",
"middle_name": "M",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.