Individual provider Active NPI

Labryant Benjamin, LPC-S

  • Professional Counselor
  • Humble, TX
National Provider Identifier
1962096297
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71207 Issued in TX
Practice address
3110 Dove Cove Cir
Humble, TX 77396-2947
Phone
(281) 857-2894
NPI assigned
Feb 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 71207 TX Primary

Addresses

Primary practice location

3110 Dove Cove Cir
Humble, TX 77396-2947

Mailing address

3110 Dove Cove Cir
Humble, TX 77396-2947
Phone (281) 857-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
71207TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom First Counseling, LLC Professional CurrentSince Sep 12, 2021 Accepting new patients

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1962096297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 DOVE COVE CIR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962947",
            "telephone_number": "281-857-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 DOVE COVE CIR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962947",
            "telephone_number": "281-857-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "LABRYANT",
        "name_prefix": "Mr.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.