Individual provider Active NPI

Alan Wayne Korinek, PH.D.

  • Marriage & Family Therapist
  • Lubbock, TX
National Provider Identifier
1871702498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
004926 Issued in TX
Practice address
5212 75TH St
Lubbock, TX 79424-2520
Phone
(806) 743-2820
Fax
(806) 743-1323
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 004926 TX Primary

Addresses

Primary practice location

5212 75TH St
Lubbock, TX 79424-2520

Mailing address

5212 75TH St
Lubbock, TX 79424-2520
Phone (806) 743-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000067 TX Practitioner - Marriage and Family Therapist 3072956325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004926TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients

Locations

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

3601 4th St
#1A122
Lubbock, TX 79430
Phone (806) 743-2391

3601 4th St
#1A300
Lubbock, TX 79430
Phone (806) 743-1327

Organizations & group practices 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871702498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "806-743-2820",
            "fax_number": "806-743-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "806-743-2820",
            "fax_number": "806-743-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORINEK",
        "first_name": "ALAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "004926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.