Active NPI
Robert Wayne King, D.MIN LPC LCDC RSOTP
- Mental Health Counselor
- Jasper, TX
National Provider Identifier
1962496067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14256
- Practice address
- 459 W Houston St
Jasper, TX 75951-3510 - Phone
- (409) 384-8060
- Fax
- (409) 384-2340
- NPI assigned
- Sep 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14256 | TX | Primary |
Addresses
Primary practice location
459 W Houston St
Jasper, TX 75951-3510
Mailing address
501 Mantooth Ave
Lufkin, TX 75904-3014
Phone (936) 639-4993
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 |
|---|---|---|---|
| 14256 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Psychological & Consultation PC | Past | 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.
-
- Psychologist
- Lufkin, TX
- NPI 1841284155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962496067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MANTOOTH AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043014",
"telephone_number": "936-639-4993",
"fax_number": "936-639-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 W HOUSTON ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759513510",
"telephone_number": "409-384-8060",
"fax_number": "409-384-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "D.MIN LPC LCDC RSOTP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.