Individual provider Active NPI

Demarco Foreman

  • Mental Health Counselor
  • Greenville, TX
National Provider Identifier
1801716675
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
103266 Issued in TX
Practice address
2200 Traders Rd Ste 502
Greenville, TX 75402-8314
Phone
(469) 751-4984
NPI assigned
Jul 20, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 103266 TX Primary

Addresses

Primary practice location

2200 Traders Rd Ste 502
Greenville, TX 75402-8314

Mailing address

301 I 30 Ste 100
Greenville, TX 75402-4512
Phone (903) 274-4140

Other practice location 1

301 I 30 Ste 100
Greenville, TX 75402-4512
Phone (903) 274-4140

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

LicenseStateTypeSpecialty
103266TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TRW Solutions Inc Mental Health PastSince Jul 31, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1801716675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 I 30 STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754024512",
            "telephone_number": "903-274-4140",
            "fax_number": "877-310-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 TRADERS RD STE 502",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028314",
            "telephone_number": "469-751-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 I 30 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754024512",
            "country_code": "US",
            "telephone_number": "903-274-4140",
            "fax_number": "877-310-9115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "DEMARCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "103266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.