Active NPI
Dana D Debose
- Professional Counselor
- Odessa, TX
National Provider Identifier
1922591692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73950
- Practice address
- 2301 Conover Ave
Odessa, TX 79763-2112 - Phone
- (432) 456-0449
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- 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 | 73950 | TX | Primary |
Addresses
Primary practice location
2301 Conover Ave
Odessa, TX 79763-2112
Mailing address
2403 W 34TH St
Odessa, TX 79764-1423
Phone (806) 577-1526
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 |
|---|---|---|---|
| 73950 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1922591692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 W 34TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797641423",
"telephone_number": "806-577-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CONOVER AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797632112",
"telephone_number": "432-456-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOSE",
"first_name": "DANA",
"middle_name": "D",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.