Organization Active NPI

Dr. David Rosenthal, LPC, PLLC

  • Mental Health Counselor
  • Lubbock, TX
National Provider Identifier
1750673976
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13447 Issued in TX
Legal business name
DR. DAVID ROSENTHAL, LPC, PLLC
Practice address
8302 Indiana Ave
Suite 11
Lubbock, TX 79423-2835
Phone
(806) 799-3188
Fax
(806) 799-3190
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. David B Rosenthal, LPC
Title
Managing Member
Phone
(806) 799-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 13447 TX Primary

Addresses

Primary practice location

8302 Indiana Ave
Suite 11
Lubbock, TX 79423-2835

Mailing address

8302 Indiana Ave
Suite 11
Lubbock, TX 79423-2835
Phone (806) 799-3188

Other identifiers 1

IdentifierTypeStateIssuer
165395801MedicaidTX

Other names 1

  • David Rosenthal, LPC Former legal business name

National Provider Directory

National Provider Directory

Locations

8302 Indiana Ave
Ste 11
Lubbock, TX 79423
Phone (806) 799-3188

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1750673976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 INDIANA AVE",
            "address_2": "SUITE 11",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232835",
            "telephone_number": "806-799-3188",
            "fax_number": "806-799-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 INDIANA AVE",
            "address_2": "SUITE 11",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232835",
            "telephone_number": "806-799-3188",
            "fax_number": "806-799-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID ROSENTHAL, LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "806-799-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165395801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Rosenthal, LPC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.