Individual provider Active NPI

Robin Nicole Beauregard, D.MIN., LPC

  • Counselor
  • Lometa, TX
National Provider Identifier
1881757532
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
15615 Issued in TX
Practice address
3120 County Road 2730
Lometa, TX 76853-4907
Phone
(512) 734-2544
Fax
(254) 699-7309
NPI assigned
Dec 17, 2006
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 15615 TX Primary
Professional Counselor 101YP2500X 15615 TX

Addresses

Primary practice location

3120 County Road 2730
Lometa, TX 76853-4907

Mailing address

3120 County Road 2730
Lometa, TX 76853-4907
Phone (512) 734-2544

Other identifiers 1

IdentifierTypeStateIssuer
0280299-02MedicaidTX

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
I20260216001178 TX Practitioner - Mental Health Counselor 8123004678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faithful Therapy TX CorporationGroup PAC ID 0446778328, 17 clinicians

Practice addresses (Care Compare)

825 Watters Creek Blvd
Suite 250
Allen, TX 75013-3770
Phone (833) 231-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15615TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Faithful Therapy TX Corporation CurrentSince Feb 1, 2026 Accepting new patients
Family Behavioral Health Associates Past Accepting new patients

Locations

825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673

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": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1881757532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 COUNTY ROAD 2730",
            "city": "LOMETA",
            "state": "TX",
            "postal_code": "768534907",
            "telephone_number": "512-734-2544",
            "fax_number": "254-699-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 COUNTY ROAD 2730",
            "city": "LOMETA",
            "state": "TX",
            "postal_code": "768534907",
            "telephone_number": "512-734-2544",
            "fax_number": "254-699-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "ROBIN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.MIN., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "15615",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280299-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lometa, TX

Sources for this page

Verify at the official NPI Registry.