Jeffery Blair Demuth, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61665 Issued in TX

Practice address

2929 Calder St
Suite 100
Beaumont, TX 77702-1845

Phone

(409) 833-9797

Fax

(409) 654-6925

NPI assigned

Aug 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

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  dba Thriveworks

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  • Lynchburg, VA
  • NPI 1215181300

  TX

  Medicare reassignment

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1639361926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMUTH",
        "first_name": "JEFFERY",
        "middle_name": "BLAIR",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas Dellis, D.O.
• Delta Diagnostic Lab Inc
• Kimberly Deluna, LCDC
• Ashley Danielle Demarco, D.D.S.
• Katherine Demeritt, P.A.
• Shannon Denard, CHW, B.N.D.
• William L Denman, DC
• Reshawn Y Dennis, R.PH.
• Ashley Dennison
• David Martin Dent, D.D.S

• Professional Counselor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.

Verify at the official NPI Registry.