Individual provider Active NPI

David Scott Pool, LPC

  • Professional Counselor
  • Stephenville, TX
National Provider Identifier
1932303278
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13183 Issued in TX
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

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
027502601MedicaidTX

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

LicenseStateTypeSpecialty
13183TXMDAddiction (Substance Use Disorder) Counselor
81877LTXMDProfessional 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.

Verify at the official NPI Registry.