Michael B Driggs, LPC
Individual provider Active NPI Professional Counselor · Whitehouse, TX
NPI 1508855065 · NPPES record last updated May 9, 2016
Key facts
- NPI
- 1508855065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11148 (TX)
- Practice address
- 403 State Highway 110 North
Whitehouse, TX 75791 - Phone
- (903) 839-1000
- Fax
- (903) 839-4000
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11148 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headlight Health Medical Group PLLC | Current |
Accepting new patients | |
| Sokyahealth Medical Group PC | Current |
Accepting new patients |
Locations
4201 W Parmer Ln
Ste B225
Austin, TX 78727
1820 Shiloh Rd
Ste 1302
Tyler, TX 75703
Interoperability endpoints
- michael.driggs.p1@direct.sokya.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11148 | TX | Yes |
Addresses
Primary practice location
403 State Highway 110 North
Whitehouse, TX 75791
Mailing address
403 State Highway 110 North
Whitehouse, TX 75791
Phone (903) 839-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028884701 | Medicaid | TX |
Other providers in Whitehouse, TX
- Martha L Deal
- Makenna Dewitz
- Kenslie A Dews
- David Tyler Dillon
- Dr Robert B Thompson and Associates
- Echo Home Care Services, LLC
- Barbara Volz Edmiston
- Karen Ann Eiland
- Shlene Eli
- Tara M Elrod
All providers in Whitehouse, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.