Individual provider Active NPI

Paul David Mathis, LPC

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1962057448
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74676 Issued in TX
Practice address
150 Orange St
Abilene, TX 79601-5653
Phone
(325) 673-6489
Fax
(325) 673-1794
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74676 TX Primary

Addresses

Primary practice location

150 Orange St
Abilene, TX 79601-5653

Mailing address

150 Orange St
Abilene, TX 79601-5653
Phone (325) 673-6489

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
I20241021001077 TX Practitioner - Mental Health Counselor 1153853783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian E Hudspeth Counseling, LLCGroup PAC ID 2466984703, 3 clinicians

Practice addresses (Care Compare)

402 Cypress St
Suite 602
Abilene, TX 79601-5162
Phone (325) 518-6243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74676TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian E Hudspeth Counseling LLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

402 Cypress St
Ste 602
Abilene, TX 79601
Phone (325) 518-6243

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1962057448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ORANGE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015653",
            "telephone_number": "325-673-6489",
            "fax_number": "325-673-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ORANGE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015653",
            "telephone_number": "325-673-6489",
            "fax_number": "325-673-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.