Active NPI
David W Stebbins, LPC
- Counselor
- Palestine, TX
National Provider Identifier
1871544734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 15807
- Practice address
- 1111 W Lacy St
Palestine, TX 75801-8149 - Phone
- (903) 391-7881
- Fax
- (903) 723-1762
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 15807 | TX | Primary |
Addresses
Primary practice location
1111 W Lacy St
Palestine, TX 75801-8149
Mailing address
112 Brookview LN
Palestine, TX 75803-5514
Phone (903) 391-7881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3875LC | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 15807 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871544734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BROOKVIEW LN",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758035514",
"telephone_number": "903-391-7881",
"fax_number": "903-723-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W LACY ST",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758018149",
"telephone_number": "903-391-7881",
"fax_number": "903-723-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEBBINS",
"first_name": "DAVID",
"middle_name": "W",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "15807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3875LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.