Active NPI
David Brice Carlisle, LPC, LCDC, NCC
- Professional Counselor
- Houston, TX
National Provider Identifier
1760872956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69965
- Practice address
- 10039 Bissonnet St Ste 105
Houston, TX 77036-7838 - Phone
- (832) 831-3651
- Fax
- (832) 831-3652
- NPI assigned
- Jan 27, 2015
- 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 | 69965 | TX | Primary |
Addresses
Primary practice location
10039 Bissonnet St Ste 105
Houston, TX 77036-7838
Mailing address
10039 Bissonnet St Ste 105
Houston, TX 77036-7838
Phone (832) 831-3651
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12150 | Other | TX | LCDC |
| 69965 | Other | TX | LPC |
| MT106514 | Other | TX | LMT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69965 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Care Services Group, P.C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Houston, TX
- NPI 1194983452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1760872956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367838",
"telephone_number": "832-831-3651",
"fax_number": "832-831-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367838",
"telephone_number": "832-831-3651",
"fax_number": "832-831-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "DAVID",
"middle_name": "BRICE",
"name_prefix": "Mr.",
"credential": "LPC, LCDC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCDC",
"identifier": "12150",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "69965",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "MT106514",
"state": "TX"
}
],
"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 Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.