Active NPI
Irving Wyble Jr., MSW LPC LMFT
- Social Worker
- Houston, TX
National Provider Identifier
1487027330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1202
- Practice address
- 3100 Richmond Ave
Suite 300
Houston, TX 77098-3000 - Phone
- (713) 528-5228
- NPI assigned
- Oct 31, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1202 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 4321 | TX |
Addresses
Primary practice location
3100 Richmond Ave
Suite 300
Houston, TX 77098-3000
Mailing address
3100 Richmond Ave
Suite 300
Houston, TX 77098-3000
Phone (713) 528-5228
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 |
|---|---|---|---|
| 1202 | TX | MD | Social Worker |
| 4321 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446249600000",
"number": "1487027330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 RICHMOND AVE",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983000",
"telephone_number": "713-528-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 RICHMOND AVE",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983000",
"telephone_number": "713-528-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYBLE",
"first_name": "IRVING",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW LPC LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-31",
"last_updated": "2015-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "1202",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4321",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.