Active NPI
Rachel Renee Spurgeon, LPC
- Counselor
- Tyler, TX
National Provider Identifier
1417565110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 78385
- Practice address
- 120 W 5TH St Ste 105
Tyler, TX 75701-4053 - Phone
- (903) 201-7865
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 78385 | TX | Primary |
Addresses
Primary practice location
120 W 5TH St Ste 105
Tyler, TX 75701-4053
Mailing address
147 N Main St
Yantis, TX 75497-2727
Phone (903) 853-0144
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 |
|---|---|---|---|
| 78385 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1417565110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N MAIN ST",
"city": "YANTIS",
"state": "TX",
"postal_code": "754972727",
"telephone_number": "903-853-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 5TH ST STE 105",
"city": "TYLER",
"state": "TX",
"postal_code": "757014053",
"telephone_number": "903-201-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURGEON",
"first_name": "RACHEL",
"middle_name": "RENEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "78385",
"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 Aug 28, 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.