Individual provider Active NPI

Frederick Capps, PHD, LPC

  • Counselor
  • Corpus Christi, TX
National Provider Identifier
1548345671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
13690 Issued in TX
Practice address
4455 S Padre Island Dr Ste 105
Corpus Christi, TX 78411-5128
Phone
(361) 857-6653
Fax
(361) 857-8013
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13690 TX Primary

Addresses

Primary practice location

4455 S Padre Island Dr Ste 105
Corpus Christi, TX 78411-5128

Mailing address

4455 S Padre Island Dr Ste 105
Corpus Christi, TX 78411-5128
Phone (361) 857-6653

Other identifiers 1

IdentifierTypeStateIssuer
3436LCOtherTXBLUECROSS/BLUESHIELD

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
13690TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548345671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115128",
            "telephone_number": "361-857-6653",
            "fax_number": "361-857-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115128",
            "telephone_number": "361-857-6653",
            "fax_number": "361-857-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "FREDERICK",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "3436LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.