NPIMap

Organization Active NPI

Professional Counseling Services of Netx

  • Professional Counselor
  • Leonard, TX
National Provider Identifier
1699076026
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14952 Issued in TX
Legal business name
PROFESSIONAL COUNSELING SERVICES OF NETX
Doing business as
Professional Counseling Services of NETX
Practice address
205 S. Main Street
Leonard, TX 75452-3113
Phone
(903) 268-3878
Fax
(903) 587-3101
NPI assigned
Nov 17, 2010
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Mr. David James Butler, LPCNPI 1124329883
Title
Licensed Professional Counselor
Phone
(903) 268-3878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 14952 TX
Counselor 101Y00000X 17360 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 14952 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 17360 TX
Mental Health Counselor 101YM0800X 14952 TX
Mental Health Counselor 101YM0800X 17360 TX
Professional Counselor 101YP2500X 14952 TX Primary
Professional Counselor 101YP2500X 17360 TX
Psychoanalyst 102L00000X 14952 TX
Psychoanalyst 102L00000X 17360 TX

Addresses

Primary practice location

205 S. Main Street
Leonard, TX 75452-3113

Mailing address

PO Box 48
Leonard, TX 75452-0048
Phone (903) 268-3878

Other identifiers 2

IdentifierTypeStateIssuer
216240602MedicaidTX
216240601MedicaidTX

Other names 1

  • Professional Counseling Services of NETX Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1699076026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754520048",
            "telephone_number": "903-268-3878",
            "fax_number": "903-587-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S. MAIN STREET",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754523113",
            "telephone_number": "903-268-3878",
            "fax_number": "903-587-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING SERVICES OF NETX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "903-268-3878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "14952",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "17360",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14952",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "17360",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14952",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17360",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14952",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17360",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "TX",
            "license": "14952",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "TX",
            "license": "17360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216240602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216240601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Counseling Services of NETX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leonard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.