Active NPI
Lillie Marie January, LPC
- Counselor
- Beaumont, TX
National Provider Identifier
1427081322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14023
- Practice address
- 3720 Durwood Dr
Beaumont, TX 77706-3708 - Phone
- (409) 330-1181
- NPI assigned
- Jul 7, 2006
- 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 | 14023 | TX | Primary |
Addresses
Primary practice location
3720 Durwood Dr
Beaumont, TX 77706-3708
Mailing address
3720 Durwood Dr
Beaumont, TX 77706-3708
Phone (409) 330-1181
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121955201 | Medicaid | TX | |
| 3638LC | Other | TX | BLUE CROSS BLUE SHIELD |
| 240401 | Other | TX | VALUE OPTIONS |
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 |
|---|---|---|---|
| 14023 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1427081322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 DURWOOD DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063708",
"telephone_number": "409-330-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 DURWOOD DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063708",
"telephone_number": "409-330-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUARY",
"first_name": "LILLIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "14023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121955201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3638LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "240401",
"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 Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.