Active NPI
Wes Upton, LPC-A
- Professional Counselor
- Southlake, TX
National Provider Identifier
1780312025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 88975
- Practice address
- 950 E State Highway 114
Southlake, TX 76092-5240 - Phone
- (817) 989-6333
- NPI assigned
- Aug 14, 2022
- 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 | 88975 | TX | Primary |
Addresses
Primary practice location
950 E State Highway 114
Southlake, TX 76092-5240
Mailing address
950 E State Highway 114
Southlake, TX 76092-5240
Phone (817) 989-6333
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 |
|---|---|---|---|
| 88975 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1780312025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E STATE HIGHWAY 114",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925240",
"telephone_number": "817-989-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E STATE HIGHWAY 114",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925240",
"telephone_number": "817-989-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "WES",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-14",
"last_updated": "2022-08-14",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "88975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.