Active NPI
Deidre Cecile Frasier, LPC
- Professional Counselor
- Beaumont, TX
National Provider Identifier
1679772271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12510
- Practice address
- 3560 Delaware St
Suite 905
Beaumont, TX 77706-3067 - Phone
- (409) 454-3743
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12510 | TX | Primary |
Addresses
Primary practice location
3560 Delaware St
Suite 905
Beaumont, TX 77706-3067
Mailing address
7078 N Highway 105
Vidor, TX 77662-7129
Phone (409) 454-3743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3253LC | Other | TX | BCBS |
| 11299793-04 | 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 |
|---|---|---|---|
| 12510 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1679772271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7078 N HIGHWAY 105",
"city": "VIDOR",
"state": "TX",
"postal_code": "776627129",
"telephone_number": "409-454-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 905",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "409-454-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASIER",
"first_name": "DEIDRE",
"middle_name": "CECILE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3253LC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11299793-04",
"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 Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.