Intrepid Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

54998 Issued in TX

Legal business name

INTREPID COUNSELING

Practice address

3900 W 15TH St Ste 305
Plano, TX 75075-4725

Phone

(917) 541-9112

NPI assigned

Jun 14, 2017

Last updated

Jun 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dov Rabinowitz, LCSW, LCDCNPI 1861939894

Title

Counselor

Phone

(917) 541-9112

Specialties & licenses 2

Addresses

Locations

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.

• Dov Rabinowitz, LCSW, LCDC

  • Clinical Social Worker
  • Plano, TX
  • NPI 1861939894

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1730619537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DICKASON AVE APT 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193533",
            "telephone_number": "917-541-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST STE 305",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754725",
            "telephone_number": "917-541-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "RABINOWITZ",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "917-541-9112",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12148",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "54998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Partners
• Interventional Partners PLLC
• Interventional Partners PLLC (Dallas Podiatry Works)
• Interventional Partners PLLC
• Intouch DME Supply, LLC
• Intricate Health
• Unyime Inyang, FNP
• Iom Velocity PLLC
• Ipa Physio Dallas
• Arshia Iqbal, MD

• Mental Health Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.