Active NPI
Robert Wesley Fine, LPC
- Mental Health Counselor
- Plano, TX
National Provider Identifier
1790903169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18506
- Practice address
- 1700 Alma Dr Ste 305
Plano, TX 75075-6956 - Phone
- (214) 499-8755
- Fax
- (972) 578-2803
- NPI assigned
- Apr 23, 2007
- 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 | 18506 | TX | Primary |
Addresses
Primary practice location
1700 Alma Dr Ste 305
Plano, TX 75075-6956
Mailing address
317 Phillips Dr
Coppell, TX 75019-6048
Phone (214) 499-8755
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 |
|---|---|---|---|
| 18506 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1790903169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 PHILLIPS DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750196048",
"telephone_number": "214-499-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ALMA DR STE 305",
"city": "PLANO",
"state": "TX",
"postal_code": "750756956",
"telephone_number": "214-499-8755",
"fax_number": "972-578-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "ROBERT",
"middle_name": "WESLEY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.