Organization Active NPI

Ravikumar Kanneganti MD Kanneganti Counseling Services

  • Group Psychotherapy Psychologist
  • Beaumont, TX
National Provider Identifier
1376709170
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
RAVIKUMAR KANNEGANTI MD KANNEGANTI COUNSELING SERVICES
Practice address
3250 Medical Center Dr
Beaumont, TX 77701-4627
Phone
(409) 813-1765
Fax
(409) 813-1875
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Ravikumar Kanneganti, M.DNPI 1679643191
Title
Owner
Phone
(409) 813-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X TX Primary

Addresses

Primary practice location

3250 Medical Center Dr
Beaumont, TX 77701-4627

Mailing address

PO Box 21313
Beaumont, TX 77720-1313
Phone (409) 813-1765

Other identifiers 1

IdentifierTypeStateIssuer
200399801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1376709170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21313",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777201313",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MEDICAL CENTER DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014627",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIKUMAR KANNEGANTI MD KANNEGANTI COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "KANNEGANTI",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-813-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399801",
            "state": "TX"
        }
    ],
    "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 May 5, 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.