Active NPI
James C Pourteau, LPC
- Mental Health Counselor
- Bryan, TX
National Provider Identifier
1760742076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63948
- Practice address
- 3141 Briarcrest Dr
Ste 510
Bryan, TX 77802-3057 - Phone
- (979) 774-2863
- Fax
- (979) 774-2863
- NPI assigned
- May 21, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63948 | TX | Primary |
Addresses
Primary practice location
3141 Briarcrest Dr
Ste 510
Bryan, TX 77802-3057
Mailing address
2811 Oakside Dr
Bryan, TX 77802-4766
Phone (979) 739-3384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 26, 2024 through Dec 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63948 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1760742076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 OAKSIDE DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778024766",
"telephone_number": "979-739-3384",
"fax_number": "979-774-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 BRIARCREST DR",
"address_2": "STE 510",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023057",
"telephone_number": "979-774-2863",
"fax_number": "979-774-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURTEAU",
"first_name": "JAMES",
"middle_name": "C",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "63948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.