Active NPI
Calvin Eugene Buckley, PH.D., LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1710081245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19041
- Practice address
- 4617 Montrose Blvd Ste C207
Houston, TX 77006-6151 - Phone
- (713) 624-0453
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- 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 | 19041 | TX | Primary |
Addresses
Primary practice location
4617 Montrose Blvd Ste C207
Houston, TX 77006-6151
Mailing address
4617 Montrose Blvd Ste C207
Houston, TX 77006-6151
Phone (713) 624-0453
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19041 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710081245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 MONTROSE BLVD STE C207",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066151",
"telephone_number": "713-624-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 MONTROSE BLVD STE C207",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066151",
"telephone_number": "713-624-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "CALVIN",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.