Active NPI
Evette Marie Pitre
- Counselor
- Beaumont, TX
National Provider Identifier
1639886351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 15392
- Practice address
- 2688 Calder St
Beaumont, TX 77702-1917 - Phone
- (409) 813-2206
- Fax
- (409) 813-2236
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 15392 | TX | Primary |
Addresses
Primary practice location
2688 Calder St
Beaumont, TX 77702-1917
Mailing address
2688 Calder St
Beaumont, TX 77702-1917
Phone (140) 981-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043774985 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15392 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Treatment Services LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1639886351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2688 CALDER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021917",
"telephone_number": "140-981-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2688 CALDER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021917",
"telephone_number": "409-813-2206",
"fax_number": "409-813-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITRE",
"first_name": "EVETTE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "15392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043774985",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.