Active NPI
Justin Robinson
- Professional Counselor
- Longview, TX
National Provider Identifier
1871104323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71433
- Practice address
- 1127 Judson Rd Ste 130
Longview, TX 75601-5153 - Phone
- (903) 200-1433
- NPI assigned
- Aug 10, 2020
- Last updated
- Aug 10, 2020
- 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 | 71433 | TX | Primary |
Addresses
Primary practice location
1127 Judson Rd Ste 130
Longview, TX 75601-5153
Mailing address
1127 Judson Rd Ste 130
Longview, TX 75601-5153
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 |
|---|---|---|---|
| 71433 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kranz Psychological Services, PLLC | Professional | Current | Accepting new patients |
Locations
1127 Judson Rd
Ste 130
Longview, TX 75601
Phone (903) 200-1433
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": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1871104323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 JUDSON RD STE 130",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 JUDSON RD STE 130",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015153",
"telephone_number": "903-200-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71433",
"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 Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.