Individual provider Active NPI

Lester Isaac Bloomenstiel, M.S., L.P.C.

  • Professional Counselor
  • Van Alstyne, TX
National Provider Identifier
1639320625
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61331 Issued in TX
Practice address
7454 FM 121
Van Alstyne, TX 75495-0776
Phone
(903) 482-5128
Fax
(903) 482-5128
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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 61331 TX Primary

Addresses

Primary practice location

7454 FM 121
Van Alstyne, TX 75495-0776

Mailing address

PO Box 776
Van Alstyne, TX 75495-0776
Phone (903) 482-5128

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 Science

State licenses

LicenseStateTypeSpecialty
61331TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1639320625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754950776",
            "telephone_number": "903-482-5128",
            "fax_number": "903-482-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7454 FM 121",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754950776",
            "telephone_number": "903-482-5128",
            "fax_number": "903-482-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMENSTIEL",
        "first_name": "LESTER",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Alstyne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.