Individual provider Active NPI

Casey Lane Pebley, LPC, MS, CRC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1669614715
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64803 Issued in TX
Practice address
1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone
(956) 289-7000
Fax
(956) 289-7257
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 64803 TX Primary

Addresses

Primary practice location

1901 S 24TH Ave
Edinburg, TX 78539-6533

Mailing address

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000

Other practice location 1

6545 N 35th St
McAllen, TX 78504-5814
Phone (956) 279-6641

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
I20231214002571 TX Practitioner - Mental Health Counselor 9739538828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tropical Texas Behavioral Health.Group PAC ID 6608864715, 38 clinicians

Practice addresses (Care Compare)

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
64803TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Texas Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
Tropical Texas Behavioral Health Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

1901 S 24th Ave
Edinburg, TX 78539
Phone (956) 289-7025

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1669614715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533",
            "telephone_number": "956-289-7000",
            "fax_number": "956-289-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533",
            "telephone_number": "956-289-7000",
            "fax_number": "956-289-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 N 35th St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785045814",
            "country_code": "US",
            "telephone_number": "956-279-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEBLEY",
        "first_name": "CASEY",
        "middle_name": "LANE",
        "name_prefix": "Miss",
        "credential": "LPC, MS, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.