Individual provider Active NPI

Charles F Vorkoper, LCSW, LPC, LMFT

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1396765103
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S00702 Issued in TX
Practice address
5710 Lyndon B Johnson Fwy
Suite 210
Dallas, TX 75240-6324
Phone
(972) 490-1007
Fax
(972) 490-9337
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X S00702 TX Primary
Professional Counselor 101YP2500X 001704 TX
Professional Counselor 101YP2500X 000861 TX

Addresses

Primary practice location

5710 Lyndon B Johnson Fwy
Suite 210
Dallas, TX 75240-6324

Mailing address

5710 Lyndon B Johnson Fwy
Suite 210
Dallas, TX 75240-6324
Phone (972) 490-1007

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000861TXMDProfessional Counselor
001704TXMDProfessional Counselor
S00702TXMDProfessional Counselor
00702TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396765103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406324",
            "telephone_number": "972-490-1007",
            "fax_number": "972-490-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406324",
            "telephone_number": "972-490-1007",
            "fax_number": "972-490-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORKOPER",
        "first_name": "CHARLES",
        "middle_name": "F",
        "credential": "LCSW, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "S00702",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "001704",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "000861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.