Organization Active NPI

Veta Lewis Behavioral Healthcare Group, PC

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1851697601
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VETA LEWIS BEHAVIORAL HEALTHCARE GROUP, PC
Practice address
1800 Judson Rd
Suite 100
Longview, TX 75605-4708
Phone
(903) 757-5200
Fax
(903) 757-5203
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Marilyn Ann Hodge
Title
Office Manager
Phone
(903) 757-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1800 Judson Rd
Suite 100
Longview, TX 75605-4708

Mailing address

1800 Judson Rd
100
Longview, TX 75605-4708
Phone (903) 757-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1851697601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JUDSON RD",
            "address_2": "100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054708",
            "telephone_number": "903-757-5200",
            "fax_number": "903-757-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JUDSON RD",
            "address_2": "SUITE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054708",
            "telephone_number": "903-757-5200",
            "fax_number": "903-757-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETA LEWIS BEHAVIORAL HEALTHCARE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-757-5200"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.