Active NPI
Tommy Lewis Pool II, LPC, LCDC
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1407088412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65821
- Practice address
- 2516 59TH St
Lubbock, TX 79413-5638 - Phone
- (324) 653-4981
- NPI assigned
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10857 | TX | |
| Professional Counselor | 101YP2500X | 65821 | TX | Primary |
Addresses
Primary practice location
2516 59TH St
Lubbock, TX 79413-5638
Mailing address
2516 59TH St
Lubbock, TX 79413-5638
Phone (432) 653-4981
Other practice location 1
5520 Federal Blvd # 51
Denver, CO 80221-6542
Phone (432) 653-4981
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12285614 | Other | TX | CAQH |
| 10857 | Other | TX | LCDC |
| 65821 | Other | TX | STATE OF TEXAS |
| 2813990 | Medicaid | TX |
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 |
|---|---|---|---|
| 65821 | TX | MD | Professional Counselor |
| 10857 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1407088412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 59TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794135638",
"telephone_number": "432-653-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 59TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794135638",
"telephone_number": "324-653-4981"
}
],
"practiceLocations": [
{
"address_1": "5520 Federal Blvd # 51",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802216542",
"country_code": "US",
"telephone_number": "432-653-4981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOL",
"first_name": "TOMMY",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10857",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12285614",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCDC",
"identifier": "10857",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TEXAS",
"identifier": "65821",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2813990",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.