Active NPI
Laura Beatrix Klueppel, LPC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1811593858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81339
- Practice address
- 307 N Glenwood Blvd
Tyler, TX 75702-5428 - Phone
- (903) 707-2031
- NPI assigned
- Dec 6, 2020
- Last updated
- Jan 10, 2023
- Sex
- Female
- 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 | 81339 | TX | Primary |
Addresses
Primary practice location
307 N Glenwood Blvd
Tyler, TX 75702-5428
Mailing address
718 Elmridge Dr
Tyler, TX 75703-3565
Phone (469) 285-1227
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1811593858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 ELMRIDGE DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757033565",
"telephone_number": "469-285-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 N GLENWOOD BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757025428",
"telephone_number": "903-707-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUEPPEL",
"first_name": "LAURA",
"middle_name": "BEATRIX",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-06",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.