Individual provider Active NPI

Rita Hurt, CLINICAL PSYCHOLOGIS

  • Clinical Psychologist
  • Beaumont, TX
National Provider Identifier
1396752580
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34832 Issued in TX
Practice address
150 Dowler Rd
Ste B
Beaumont, TX 77706
Phone
(409) 866-5002
Fax
(409) 866-1390
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34832 TX Primary

Addresses

Primary practice location

150 Dowler Rd
Ste B
Beaumont, TX 77706

Mailing address

150 Dowlen Rd Ste B
Beaumont, TX 77706-6085
Phone (409) 866-5002

Other identifiers 1

IdentifierTypeStateIssuer
149885901MedicaidTX

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
I20111007000309 TX Practitioner - Clinical Psychologist 6901078336 Practice locations: Beaumont, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Dowlen Rd
Ste. B
Beaumont, TX 77706-6085
Phone (409) 866-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34832TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Day Mental Health & Wellness, PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

150 Dowlen Rd
Ste B
Beaumont, TX 77706
Phone (409) 866-0910

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1396752580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DOWLEN RD STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066085",
            "telephone_number": "409-866-5002",
            "fax_number": "409-866-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DOWLER RD",
            "address_2": "STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-5002",
            "fax_number": "409-866-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "CLINICAL PSYCHOLOGIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149885901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.