Eric Vaughn Rothe, LPC
Individual provider Active NPI Professional Counselor · Jacksboro, TX
NPI 1962022632 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1962022632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 77147 (TX)
- Practice address
- 115 E Archer St
Jacksboro, TX 76458-1801 - Phone
- (214) 232-5568
- NPI assigned
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77147 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 77147 | TX | Yes |
Addresses
Primary practice location
115 E Archer St
Jacksboro, TX 76458-1801
Mailing address
PO Box 1053
Jacksboro, TX 76458-7053
Phone (214) 232-5568
Other providers in Jacksboro, TX
- Teresa Lynn Pate
- Physician Services of Jacksboro PA
- Mackenzie Prince
- Kalyn Qualls
- Robert Cooper, M.D., PA
- Brent Shepherd
- Rachelle Stottlemyre
- Sushil B. Chokshi, M.D., P.a.
- Taylor Medical PLLC
- Heather Elaine Vaughn
All providers in Jacksboro, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.