Individual provider Active NPI

Donald Eugene Thibeaux, LCSW, LCDC

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1548365075
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
40363 Issued in TX
Practice address
8390 LBJ Fwy Ste 1000
Dallas, TX 75243-1288
Phone
(214) 361-2100
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8311 TX
Clinical Social Worker 1041C0700X 40363 TX Primary

Addresses

Primary practice location

8390 LBJ Fwy Ste 1000
Dallas, TX 75243-1288

Mailing address

8390 LBJ Fwy Ste 1000
Dallas, TX 75243-1288
Phone (214) 361-2100

Other names 1

  • Don Thibeaux Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8311TXMDAddiction (Substance Use Disorder) Counselor
40363TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1548365075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 LBJ FWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "214-361-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LBJ FWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "214-361-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBEAUX",
        "first_name": "DONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "8311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "THIBEAUX",
            "credential": "LCSW,LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 18, 2021; 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.