Individual provider Active NPI

Robert Michael Dane, PH.D, LPC-S, LCDC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1972791861
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14671 Issued in TX
Practice address
1315 Sam Bass Circle
Suite B3
Round Rock, TX 78681-4168
Phone
(512) 413-0651
Fax
(512) 244-2470
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10667 TX
Professional Counselor 101YP2500X 14671 TX Primary

Addresses

Primary practice location

1315 Sam Bass Circle
Suite B3
Round Rock, TX 78681-4168

Mailing address

PO Box 639
Round Rock, TX 78680-0639
Phone (512) 413-0651

Other identifiers 1

IdentifierTypeStateIssuer
7853LCOtherTXBLUECROSS BLUESHIELD

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10667TXMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Robert M Dane Counseling Services PLLC Professional 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.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1972791861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786800639",
            "telephone_number": "512-413-0651",
            "fax_number": "512-244-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 SAM BASS CIRCLE",
            "address_2": "SUITE B3",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814168",
            "telephone_number": "512-413-0651",
            "fax_number": "512-244-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANE",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10667",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "7853LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.