Active NPI
Erin Gayle Humphries, LPC
- Professional Counselor
- Denton, TX
National Provider Identifier
1568637338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61635
- Practice address
- 914 N Locust St
Denton, TX 76201-2954 - Phone
- (940) 387-6250
- Fax
- (940) 387-6274
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61635 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 201047 | TX |
Addresses
Primary practice location
914 N Locust St
Denton, TX 76201-2954
Mailing address
PO Box 833
Denton, TX 76202-0833
Phone (817) 703-8768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1957284 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61635 | TX | MD | Professional Counselor |
| 201047 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1568637338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "DENTON",
"state": "TX",
"postal_code": "762020833",
"telephone_number": "817-703-8768",
"fax_number": "940-387-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N LOCUST ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762012954",
"telephone_number": "940-387-6250",
"fax_number": "940-387-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "ERIN",
"middle_name": "GAYLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61635",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201047",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1957284",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.