Active NPI
David Scott Pool, LPC
- Professional Counselor
- Stephenville, TX
National Provider Identifier
1932303278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13183
- Practice address
- 135 River North Blvd
Stephenville, TX 76401 - Phone
- (254) 965-2810
- Fax
- (866) 247-6022
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81877L | TX | |
| Professional Counselor | 101YP2500X | 13183 | TX | Primary |
Addresses
Primary practice location
135 River North Blvd
Stephenville, TX 76401
Mailing address
1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895
Other practice location 1
104 S Park Dr
Brownwood, TX 76801-5918
Phone (325) 646-0704
Other practice location 2
1100 W Reynosa Ave
DE Leon, TX 76444-1630
Phone (254) 893-5895
Other practice location 3
3804 Highway 377 S
Brownwood, TX 76801-5120
Phone (325) 643-5167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027502601 | Medicaid | TX |
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 |
|---|---|---|---|
| 13183 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 81877L | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1932303278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W REYNOSA AVE",
"city": "DE LEON",
"state": "TX",
"postal_code": "764441630",
"telephone_number": "254-893-5895",
"fax_number": "866-511-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RIVER NORTH BLVD",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "76401",
"telephone_number": "254-965-2810",
"fax_number": "866-247-6022"
}
],
"practiceLocations": [
{
"address_1": "104 S Park Dr",
"address_purpose": "LOCATION",
"city": "Brownwood",
"state": "TX",
"postal_code": "768015918",
"country_code": "US",
"telephone_number": "325-646-0704",
"fax_number": "866-247-6022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 W Reynosa Ave",
"address_purpose": "LOCATION",
"city": "DE Leon",
"state": "TX",
"postal_code": "764441630",
"country_code": "US",
"telephone_number": "254-893-5895",
"fax_number": "866-247-6022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3804 Highway 377 S",
"address_purpose": "LOCATION",
"city": "Brownwood",
"state": "TX",
"postal_code": "768015120",
"country_code": "US",
"telephone_number": "325-643-5167",
"fax_number": "866-247-6022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOL",
"first_name": "DAVID",
"middle_name": "SCOTT",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81877L",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027502601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.