Individual provider Active NPI

Al A Nazempoor, PH.D.

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1629106943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC11425 Issued in TX
Practice address
12820 Hillcrest Rd
Suite #C-107
Dallas, TX 75230-1526
Phone
(214) 727-7717
Fax
(972) 233-5568
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC11425 TX Primary

Addresses

Primary practice location

12820 Hillcrest Rd
Suite #C-107
Dallas, TX 75230-1526

Mailing address

12820 Hillcrest Rd
Suite #C-107
Dallas, TX 75230-1526
Phone (214) 727-7717

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC11425TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629106943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE #C-107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "214-727-7717",
            "fax_number": "972-233-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE #C-107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "214-727-7717",
            "fax_number": "972-233-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZEMPOOR",
        "first_name": "AL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "LPC11425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.