PF Dover Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

69365 Issued in TX

Legal business name

PF DOVER COUNSELING

Practice address

200 Pecan Creek Dr.
Suite 200
Southlake, TX 76092-6371

Phone

(309) 363-2544

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Scott Allen Smith, MA, LPC, CH, LCPC

Title

Owner

Phone

(309) 363-2544

Specialties & licenses 1

Addresses

Tax ID family

PF Dover Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PF Dover Counseling

  • Clinical Psychologist
  • Southlake, TX
  • NPI 1043563877
  NPD tax ID

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1558788679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PECAN CRK",
            "address_2": "200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926371",
            "telephone_number": "309-363-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PECAN CREEK DR.",
            "address_2": "SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926371",
            "telephone_number": "309-363-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF DOVER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-363-2544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, CH, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "69365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Dental of Desoto
• Emily Ann Perry, MSN, APRN, AGNP-C
• Michelle Lynay Perry, O.D.
• J. Lee Pettigrew, D.D.S.
• PF Dover Counseling
• Jessica Breanne Pham, OTR, MOT
• Jonathan Phan, PT, DPT
• Sarah Phan, DPT
• Jasmine Phariss
• Pharmacy Plus Inc (Pharmacy Plus #9)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Southlake, TX
• Providers in Southlake, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.