Active NPI
B Gene Klassen, M.ED., LPC-INTERN
- Counselor
- Dallas, TX
National Provider Identifier
1508129529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 69082
- Practice address
- 4240 W Lovers LN
Dallas, TX 75209-2820 - Phone
- (214) 295-5039
- NPI assigned
- Jun 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 69082 | TX | Primary |
Addresses
Primary practice location
4240 W Lovers LN
Dallas, TX 75209-2820
Mailing address
4240 W Lovers LN
Dallas, TX 75209-2820
Phone (214) 295-5039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69082 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1508129529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 W LOVERS LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752092820",
"telephone_number": "214-295-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 W LOVERS LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752092820",
"telephone_number": "214-295-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASSEN",
"first_name": "B",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "M.ED., LPC-INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "69082",
"primary": true
}
],
"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 Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.