Paxton Van Klompenburg, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78875 Issued in TX

Practice address

5601 Democracy Dr Ste 135
Plano, TX 75024-3672

Phone

(940) 765-9029

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 13, 2024 through May 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spero Counseling Services

  • Mental Health Counselor
  • Plano, TX
  • NPI 1568092674
  NPD (past)

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1548899685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR STE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR STE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243672",
            "telephone_number": "940-765-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KLOMPENBURG",
        "first_name": "PAXTON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rochelle Valentino, RBT
• Valley Iom
• Suresh Joseph Valloppillil, M.D.
• Valo Eye Care
• Erika Cristina Van Doorn, M.D.
• Van Vo, O.D., PLLC
• Melissa Van Zalinge, LCSW
• Jeremiah T Vance, CNIM
• Kavya Vanchipurakal, FNP-BC, BSN, RN
• Sara Vandenburg, LCSW-S

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.

Verify at the official NPI Registry.