Individual provider Active NPI

La'Boris Cole, PHD

  • Professional Counselor
  • Bedford, TX
National Provider Identifier
1538826490
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84434 Issued in TX
Practice address
405 Airport Fwy Ste 508
Bedford, TX 76021-5358
Phone
(601) 594-8048
NPI assigned
Nov 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 84434 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 84434 TX Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

405 Airport Fwy Ste 508
Bedford, TX 76021-5358

Mailing address

3827 Tarrant Main St
Euless, TX 76040-7214
Phone (601) 594-8048

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
84434TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Associates and Counselors of Texas, PLLC Counselor CurrentSince Nov 28, 2021 Accepting new patients
Restoration Treatment Center of Texas, LLC Counselor CurrentSince Jul 10, 2022 Accepting new patients

Locations

405 Airport Fwy
Ste 2
Bedford, TX 76021
Phone (682) 237-9106

405 Airport Fwy
Ste 508
Bedford, TX 76021
Phone (601) 594-8048

2719 Northridge Dr
Ste B
Bedford, TX 76021

4425 Plano Pkwy
Ste 601
Carrollton, TX 75010
Phone (682) 445-0431

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1538826490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 TARRANT MAIN ST",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760407214",
            "telephone_number": "601-594-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AIRPORT FWY STE 508",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215358",
            "telephone_number": "601-594-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LA'BORIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "84434",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84434",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.