Individual provider Active NPI

William P Mory, LPC

  • Mental Health Counselor
  • Denison, TX
National Provider Identifier
1639239601
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10746 Issued in TX
Practice address
211 N Fannin Ave
Denison, TX 75020-3118
Phone
(903) 624-3960
Fax
(800) 906-1038
NPI assigned
Dec 11, 2006
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10746 TX Primary

Addresses

Primary practice location

211 N Fannin Ave
Denison, TX 75020-3118

Mailing address

211 N Fannin Ave
Denison, TX 75020-3118
Phone (903) 624-3960

Other identifiers 2

IdentifierTypeStateIssuer
0260903-03MedicaidTX
2501LCOtherTXBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328001556 TX Practitioner - Mental Health Counselor 7719324565 Practice locations: Denison, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

211 N Fannin Ave
Denison, TX 75020-3118
Phone (903) 624-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1639239601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N FANNIN AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203118",
            "telephone_number": "903-624-3960",
            "fax_number": "800-906-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N FANNIN AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203118",
            "telephone_number": "903-624-3960",
            "fax_number": "800-906-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORY",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "10746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260903-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2501LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.