Active NPI
Roger Lane Poole, M.A., M.ED., LPC
- Mental Health Counselor
- Cleburne, TX
National Provider Identifier
1619115797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 64389
- Practice address
- 904 N Main St Ste C
Cleburne, TX 76033-3803 - Phone
- (817) 645-3328
- Fax
- (817) 558-7566
- NPI assigned
- Jan 28, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 64389 | TX | |
| Mental Health Counselor | 101YM0800X | 64389 | TX | Primary |
Addresses
Primary practice location
904 N Main St Ste C
Cleburne, TX 76033-3803
Mailing address
212 Bent Tree TRL
Burleson, TX 76028-1234
Phone (817) 995-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503000165 | TX | Practitioner - Mental Health Counselor | 2062852320 | Practice locations: Cleburne, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64389 | TX | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1619115797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BENT TREE TRL",
"city": "BURLESON",
"state": "TX",
"postal_code": "760281234",
"telephone_number": "817-995-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 N MAIN ST STE C",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760333803",
"telephone_number": "817-645-3328",
"fax_number": "817-558-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "ROGER",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "M.A., M.ED., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-28",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "TX",
"license": "64389",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "64389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
- Michael Scott Phillips, M.D.
- Lindsey Elizabeth Pinkerton, LCSW
- Pinnacle Health Facilities of Texas Xiv LP (Heritage Trails Nursing and Rehabilitation Center)
- Brian Pogue
- Polymerase Labs LLC
- Samantha Powers, AUD
- Zoey Grace Prater
- Procare Home Care Services Unlimited, Corp
- Pruitt Chiropractic PLLC
- Sidney Pruitt IV, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.