Individual provider Active NPI

Lara Anne Neely, DBH, MED, LPC

  • Professional Counselor
  • Marshall, TX
National Provider Identifier
1619543600
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84996 Issued in TX
Practice address
217 Dolores Dr
Marshall, TX 75672-1399
Phone
(832) 294-8270
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 84996 TX Primary
Professional Counselor 101YP2500X LPC.0019268 CO

Addresses

Primary practice location

217 Dolores Dr
Marshall, TX 75672-1399

Mailing address

8708 Technology Forest PL Ste 125
The Woodlands, TX 77381-1182
Phone (281) 419-0080

Other practice location 1

8708 Technology Forest Pl Ste 125
The Woodlands, TX 77381-1182
Phone (291) 419-0080

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC.0019268COMDProfessional Counselor
84996TXMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1619543600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 TECHNOLOGY FOREST PL STE 125",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811182",
            "telephone_number": "281-419-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DOLORES DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756721399",
            "telephone_number": "832-294-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8708 Technology Forest Pl Ste 125",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773811182",
            "country_code": "US",
            "telephone_number": "291-419-0080",
            "fax_number": "936-213-9181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "LARA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DBH, MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84996",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.